Premium rates increased steeply each year following the Affordable Care Act’s enactment in 2010, until they stabilized in 2018. The approved rates for all 50 states in 2020 dropped by an average of 1.09 percent from 2019.
Below are the 50 states and Washington, D.C., ranked by how their ACA premium rate is changing in 2021:
- Indiana: 10.5 percent increase
- Kansas: 7.8 percent increase
- Texas: 7.4 percent increase
- Massachusetts: 7 percent increase
- Louisiana: 6.9 percent increase
- Nebraska: 5.4 percent increase
- Alabama: 5.1 percent increase
- Tennessee: 5 percent increase
- Kentucky: 5 percent increase
- Nevada: 4.9 percent increase
- West Virginia: 4.8 percent increase
- Georgia: 4.8 percent increase
- Missouri: 4.7 percent increase
- Rhode Island: 4.2 percent increase
- New Jersey: 4.1 percent increase
- North Carolina: 4 percent increase
- Vermont: 3.5 percent increase
- Arkansas: 3.1 percent increase
- Florida: 3.1 percent increase
- North Dakota: 3percent increase
- Mississippi: 2.7 percent increase
- South Dakota: 2.6 percent increase
- Oregon: 2.1 percent increase
- New York: 2.8 percent increase
- Montana: 1.4 percent increase
- Idaho: 1.2 percent increase
- Michigan: 1.1 percent increase
- Arizona: 1.1 percent increase
- California: 0.5 percent increase
- District of Columbia: 0.2 percent increase
- Connecticut: no change
- Oklahoma: 0.1 percent decrease
- Iowa: 0.2 percent decrease
- Ohio: 0.4 percent decrease
- Delaware: 1 percent decrease
- Utah: 1.2 percent decrease
- Colorado: 1.4 percent decrease
- South Carolina: 1.5 percent decrease
- New Mexico: 1.5 percent decrease
- Hawaii: 1.7 percent decrease
- Illinois: 1.8 percent decrease
- Minnesota: 1.9 decrease
- Alaska: 2 percent decrease
- Washington: 3.2 percent decrease
- Pennsylvania: 3.3 percent decrease
- Wisconsin: 5.2 percent decrease
- Virginia: 7.2 percent decrease
- Wyoming: 10 percent decrease
- New Hampshire: 11.5 percent decrease
- Maryland: 11.9 percent decrease
- Maine: 13.1 percent percent decrease
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