The Affordable Care Act (ACA; aka Obamacare) Health Insurance Marketplace is set to begin its tenth Open Enrollment period today. American healthcare consumers can sign up on the federal insurance exchange at healthcare.gov or through their state marketplaces. In recent years there has been increased confusion surrounding Open Enrollment due to changes (and attempted changes) made to the ACA under the Trump administration, though President Biden has reversed some of the harmful changes that led to the first increases in U.S. uninsured rate since 2014 and largest single-year increase since 2008. 

When Obama was president and launched the ACA, the Open Enrollment period ran 90 days beginning November 1 and running until the end of January. Trump cut Open Enrollment to 45 days along with outreach budgets his first year in office, limiting access to assistance and information for those in need. President Biden has set Open Enrollment to 75 days — now running from November 1 to January 15 — and reinstated funding and navigator requirements. The