Reasons for Massive Health Insurance Drop in Rhode Island

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TL/DR –

Thousands of Rhode Islanders have dropped their health insurance plans after federal subsidies expired, resulting in a 20% fall in enrolment in HealthSource RI, the state’s marketplace, in early 2024. The average premium for enrollees more than doubled as federal funding ended. According to HealthSource Director Lindsay Lang, the increase in premiums, along with the decrease in federal supports make it a challenging year for those depending on HealthSource RI for health coverage.


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Rise in Health Insurance Premiums Leads to Drop in Enrollment in Rhode Island

A significant number of Rhode Islanders have decided to forgo their health insurance plans due to inflated premiums and dwindling subsidies, reports HealthSource RI, the public insurance marketplace in the state.

Enrollment Plummets as Subsidies Expire

Following the exhaustion of federal funding for premium tax credits, HealthSource RI witnessed a 20% drop in enrollment at the conclusion of the annual enrollment period. On December 31 of last year, just as the premium subsidies under the American Rescue Plan and Inflation Reduction Act ceased, there were 48,060 individual and family enrollments. By February 1st, that number had decreased to 38,557.

HealthSource RI, the state’s Obamacare exchange, had experienced steady increases in enrollment almost every year since the launch of the Affordable Care Act exchanges in 2013. This recent drop marks a significant departure from that trend.

The Impact of Expired Tax Credits

Last year, amidst a heated budget dispute, the Republican-led federal government declined to renew premium tax credits. This decision came at a time when premiums were on the rise due to a multitude of factors, thereby leading to an increase in the overall cost of coverage.

The average premium for HealthSource RI enrollees saw a jump of more than double (101%), or $111 per person, per month, following the lapse in subsidies. In the face of these soaring costs, many enrollees chose to switch to lower-priced insurance plans, which came with their own set of challenges, including higher deductibles and out-of-pocket expenses. Some decided to let their coverage lapse entirely.

HealthSource Director Lindsay Lang notes the devastating impact of these changes on Rhode Islanders. “The increase in premiums, combined with the decrease in federal supports, makes this an incredibly challenging year for folks depending on HealthSource RI for health coverage,” Lang stated. “We will work with every customer to find options that are best for their needs and budget, and continue to work with state leaders and our federal delegation to find long-term solutions.”

Is There Any Hope for Relief?

Gov. Dan McKee has proposed a state budget that allocates $9.5 million to subsidize coverage for some of the lowest-income enrollees starting July 1. However, his proposal may be too minimal and too delayed to provide adequate relief for struggling Rhode Islanders.

“It is disheartening but not surprising that, as President Trump’s policies have caused health insurance costs to skyrocket, more Rhode Islanders are struggling to pay for health coverage,” commented Gov. McKee.

Since the establishment of the HealthSource RI exchange in 2013, Rhode Island’s uninsured rate has fallen by two thirds, currently sitting at only 2.2%, according to HealthSource RI.


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