As the annual open enrollment period for the Affordable Care Act (ACA) approaches on November 1, millions of Americans are bracing for substantial increases in their health insurance premiums. Reports indicate that costs are set to skyrocket across the country, with some states facing particularly steep hikes. For instance, Californians may see premiums double in the upcoming year, while some individuals in Mississippi could endure increases of up to 300% without continued federal subsidies. As Congress debates the extension of tax credits, many are left anxious about the potential loss of coverage. Analysts warn that failure to secure subsidies could result in dramatic financial burdens for enrollees nationwide.