Health insurance premiums under the Affordable Care Act (ACA) are projected to rise sharply, with studies indicating an average increase of 75% for individuals next year. Insurers are applying for the largest premium hikes seen in over five years, as several factors, including the expiration of subsidies and new legislative changes, come into play. Notably, major health insurance companies like Centene and Elevance are seeking substantial rate increases, raising concerns that millions of Americans, including 1.7 million Texans, could lose their health coverage due to changes in tax credits and ACA provisions. Additionally, states like Colorado could see increases as high as 38%, with forecasts suggesting that health insurance costs will continue to escalate significantly, creating a potential financial burden for families and individuals reliant on these plans.