California Sees Surge in Health Insurance Cancellations Amid Loss of Federal Aid
More middle-class Californians cancel health coverage after losing federal aid

Image: Los Angeles Times
In California, 374,000 individuals canceled their health insurance from Covered California in early 2023 due to rising premiums and the end of enhanced federal subsidies. This represents a 19% cancellation rate, significantly higher than previous years. The state plans to introduce additional subsidies to mitigate the impact on middle-class enrollees.
- 01The cancellation rate of 19% among Covered California enrollees is higher than the 13-15% range seen in the past three years.
- 02The expiration of enhanced federal subsidies has led to increased annual costs for middle-class families, with premiums rising over 10%.
- 03California's state budget includes $190 million for premium subsidies for low-income families, with a proposal for $300 million in 2027 to expand eligibility.
- 04Governor Gavin Newsom's budget also proposes an additional $27 million for gender-affirming care costs for Covered California enrollees.
- 05A significant shift towards lower-priced Bronze plans is occurring, which may lead to higher out-of-pocket costs for enrollees.
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In the first three months of 2023, approximately 374,000 individuals canceled their health insurance through Covered California, marking a 19% cancellation rate among those who renewed their policies. This increase in cancellations is attributed to the expiration of enhanced federal subsidies that had previously lowered costs for many middle-class Californians. As a result, many are facing annual premiums that are hundreds of dollars higher than last year. Covered California's enrollment dropped to 1.8 million from 1.94 million the previous year, a 7% decline. The state has allocated $190 million in its budget for premium subsidies for families earning up to 165% of the federal poverty level and plans to increase this to $300 million by 2027. Additionally, the state is addressing the loss of coverage for gender-affirming care by proposing $27 million to assist enrollees with these costs. The rising costs have pushed many enrollees towards lower-priced Bronze plans, which come with higher co-pays and deductibles, raising concerns about deferred care.
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The increase in health insurance cancellations is likely to leave many middle-class Californians without coverage, impacting their access to healthcare services.
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