The Affordable Care Act (ACA; aka Obamacare) Health Insurance Marketplace begins its seventh 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, leading to the U.S. uninsured rate to rise for the first time since 2014 and the largest single-year increase since 2008.
When Obama was president and launched the ACA, Open Enrollment period ran 90 days beginning November 1 and running until the end of January. Open Enrollment was cut by President Trump to 45 days in 2017 unless you qualify for the Special Enrollment Period which extends enrollment by an additional 60 days. Advertising and outreach budgets for Open Enrollment have faced cuts, limiting the people able to access assistance or appropriate information that can help them.