{"id":9105,"date":"2026-04-06T13:15:50","date_gmt":"2026-04-06T18:15:50","guid":{"rendered":"https:\/\/westplexnews.com\/index.php\/2026\/04\/06\/navigator-cuts-leave-americans-with-less-help-to-find-obamacare-plans\/"},"modified":"2026-04-06T13:15:50","modified_gmt":"2026-04-06T18:15:50","slug":"navigator-cuts-leave-americans-with-less-help-to-find-obamacare-plans","status":"publish","type":"post","link":"https:\/\/westplexnews.com\/index.php\/2026\/04\/06\/navigator-cuts-leave-americans-with-less-help-to-find-obamacare-plans\/","title":{"rendered":"Navigator cuts leave Americans with less help to find Obamacare plans"},"content":{"rendered":"
\"Kimberly
\n

Kimberly Dudley, of Cincinnati, is one of the last five Affordable Care Act navigators in Ohio, helping residents find a private health care insurance plan on the public HealthCare.gov marketplace. In one of its first acts, the second Trump administration cut annual funding for the navigator program by 90%. (Photo by Anne Saker\/Stateline)<\/p>\n<\/figcaption><\/figure>\n

CINCINNATI \u2014 For four years, Kimberly Dudley has worked on the front line of the Affordable Care Act as a navigator, helping Ohioans solve the puzzle of buying private insurance on the federal HealthCare.gov marketplace.<\/p>\n

But the job is harder now, the answers scarcer. In one of its first acts, the second Trump administration cut annual funding for navigators by 90%, from $100 million to $10 million, arguing the program was wasteful. Under the ACA, better known as Obamacare, navigators help educate and enroll people \u2014 especially those living in hard-to-reach communities. They were paid through a user fee on monthly premiums.<\/p>\n

In January 2025, 50 navigators served Ohio\u2019s 88 counties, toting their laptops to meet Ohioans at rural libraries and suburban food courts to help them search for a health care plan on the marketplace. But by the Nov. 1 start of open enrollment, the busiest time of year, only five navigators remained. Dudley, of Cincinnati, is one of them.<\/p>\n

Married with a child, she was hired in 2022 at Cincinnati\u2019s Freestore Foodbank and found \u201csuch a joy from helping people, although it\u2019s been hard this year.\u201d The hotline, for example, is in Dudley\u2019s hands now. The other navigators who worked calls were laid off.<\/p>\n

The administration did not respond to requests last week to discuss the navigator program cut. But in announcing the cuts last year, an administration statement said<\/a>: \u201cNavigators are not enrolling nearly enough people to justify the substantial amount of federal dollars previously spent on the program. This reduction will ensure funding is focused on meeting the statutory goals of the program more efficiently and effectively.\u201d<\/p>\n

Dudley\u2019s task got even tougher at the end of last year, when the Trump administration and Congress allowed certain pandemic-era subsidies to expire, and policy premiums rose sharply<\/a>, often to more than many Ohioans can pay.<\/p>\n

She hears the stories every day on her own phone, which doubles as Ohio\u2019s ACA hotline. People call when they are ruled ineligible for Medicaid, usually because their incomes are too high. In early March, Dudley heard from Tonya Horn, 59, of Cleveland Heights, who needed help.<\/p>\n

All her working life, said Horn, she felt lucky to have employer-paid health benefits up to her most recent job, working remotely for Empower, a Colorado financial services company, as a talent acquisition diversity program manager. But last year, her job at Empower felt less secure. Her pink slip came in January.<\/p>\n

Helping Horn, Dudley spotted a plan on HealthCare.gov that with an income-based subsidy would cost $450 a month with no deductible. But then Dudley discovered that Horn\u2019s doctor does not accept that insurance plan.<\/p>\n

\u201cI don\u2019t know if this works for you,\u201d Dudley said, \u201cbut getting insurance could involve switching doctors.\u201d<\/p>\n

Horn sighed. \u201cCan we keep looking?\u201d<\/p>\n

Drop in enrollment<\/h4>\n

This year, Ohio\u2019s enrollment in the HealthCare.gov marketplace fell by 20%, the second-largest decline among the 50 states. The overall national enrollment<\/a> slid 5%.<\/p>\n

Experts in Ohio said a few factors depressed enrollment. Some people aged into Medicare. Others found jobs with health benefits. But one certain force was the Dec. 31 expiration of the pandemic-era subsidies on most marketplace plans.<\/p>\n

The ACA does provide premium subsidies based on income, but the federal government began offering additional help in 2021 as temporary pandemic relief. The \u201cenhanced\u201d subsidies cut many people\u2019s monthly premiums by hundreds of dollars.<\/p>\n

They also helped boost the number of people buying health coverage from the insurance marketplaces, from 11.4 million people in 2020 to 24.3 million last year.<\/p>\n

Americans who had the enhanced subsidies got warnings from their insurers about the Dec. 31 expiration. As of March 26, the number of Americans with marketplace coverage dropped by about 1.2 million compared with 2025, according to the Centers for Medicare & Medicaid Services<\/a>.<\/p>\n

Last week, a spokesperson for U.S. Sen. Jon Husted, an Ohio Republican, said that Husted proposed to extend the subsidies two more years, with new restrictions to prevent fraud in marketplace plans. Democrats rejected the idea, said Joshua Eck, Husted\u2019s deputy chief of staff. \u201cBut had they supported the bill, or been willing to discuss it, it\u2019s likely this problem would have been solved in December.\u201d<\/p>\n

In Ohio, the Columbus nonprofit research group Health Policy Institute of Ohio found that of the more than 580,000 Ohioans with 2025 HealthCare.gov plans, nearly 90% used the temporary subsidies<\/a>.<\/p>\n

California and at least nine other states<\/a> that run their own health insurance marketplaces have used state money<\/a> to help residents absorb the expiration price shock, though only New Mexico is completely filling the gap. Ohio could not dip into its budget that way because it uses the federal marketplace.<\/p>\n

In January, the Health Policy Institute of Ohio<\/a> estimated that 2026 premiums for Ohio marketplace plans would surge by 114% on average. Said institute analyst Brian O\u2019Rourke: \u201cIt\u2019s reasonable to expect that (the enrollment drop is) because of the expiration of the subsidies.\u201d<\/p>\n

On the statewide ACA hotline call with Horn, Kimberly Dudley said her own mother got a notice from her insurance company that her $40-a-month premium would increase to $400. \u201cI was able to help her figure out a plan, but her premium still went up some,\u201d Dudley said. \u201cWe\u2019re going to find a way forward for you.\u201d<\/p>\n

\u201cI hope so,\u201d Horn said.<\/p>\n

Ohio expands the ACA<\/h4>\n

Ohio\u2019s industrial base collapsed in the 1990s, and hundreds of thousands of workers lost employer-paid coverage. Young people left Ohio for work, and the insurance pool shrank as it rapidly aged. Numerous studies found Ohio\u2019s health declining, in no small part because nearly 1.5 million Ohioans, more than 10% of the population, had zero health insurance.<\/p>\n

The ACA also allowed states to expand Medicaid to adults with incomes up to 138% of the poverty level, although some Republican-led states have refused the expansion. In Ohio, GOP Gov. John Kasich pushed the Republican-led state legislature to approve the expansion in 2013; 40 states and the District of Columbia have expanded their programs. Ohio\u2019s participation in the federal marketplace grew until 2025, when enrollment hit a record high.<\/p>\n

\n
\n
<\/div>\n
\n

How did we help people back in the day when they didn\u2019t have coverage?<\/p>\n<\/div>\n

\n

\u2013 Charlotte Rudolph, UHCAN Ohio executive director<\/b><\/p>\n<\/div>\n<\/div>\n<\/div>\n

The speed of the retreat in Ohio of the ACA brought swift consequences. The Columbus nonprofit group UHCAN Ohio \u201chas been helping people since the law\u2019s inception,\u201d said Executive Director Charlotte Rudolph. Then last fall, \u201cIf we saw five people, maybe one enrolled. They\u2019re making that tough decision to say, \u2018I hope I don\u2019t get sick.\u2019\u201d<\/p>\n

\u201cWe are now going through our archives, asking ourselves, how did we help people back in the day when they didn\u2019t have coverage?\u201d<\/p>\n

Further complicating Ohio\u2019s health care horizon are Trump administration cuts to Medicaid. More than 3 million Ohioans use the health program for low-income residents. But under the broad tax and spending measure President Donald Trump signed last summer, as many as 1 in 10 of those Ohioans could be found ineligible<\/a> through new work requirements and other hurdles.<\/p>\n

Horn, on the hotline phone call, said her weekly $624 unemployment payments had put her over the Medicaid threshold. Dudley nodded as she tapped on her keyboard. \u201cI hear that a lot,\u201d she said.<\/p>\n

What the future holds<\/h4>\n

While the immediate problems are stressing the system, experts say they are anxious for what is to come in Ohio\u2019s health care.<\/p>\n

Uninsured people often use emergency departments for primary care, straining hospitals still under pandemic duress and understaffed. Many Ohioans on Medicaid live in its rural spaces, where the safety net has long been fraying. The trade group the Ohio Hospital Association told the state legislature last year that more than 70% of the state\u2019s rural hospitals<\/a> have been running in the red for years.<\/p>\n

\u201cMy fears,\u201d said Grace Wagner of the Ohio Association of Foodbanks, \u201care that as these changes continue to come, decision-makers aren\u2019t aware or prepared to respond.\u201d<\/p>\n

Dudley and Horn spent another 30 minutes on the ACA hotline, but none of the HealthCare.gov options clicked. Finally, Horn said she would call back.<\/p>\n

\u201cSure, it\u2019s a lot to think about,\u201d Dudley said, and ended the call. Then she sat looking at her laptop screen full of HealthCare.gov. She doesn\u2019t like to leave a puzzle unsolved for someone who came to her for help.<\/p>\n

\u201cI love what I do. Being able to do this work is fantastic, even in the midst of all this stuff happening,\u201d she said. \u201cBut there are times when I feel a little overwhelmed.\u201d<\/p>\n

\n

This story was originally produced by Stateline<\/a>, which is part of States Newsroom, a nonprofit news network which includes Missouri Independent, and is supported by grants and a coalition of donors as a 501c(3) public charity.<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"

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(Photo by Anne Saker\/Stateline) CINCINNATI \u2014…<\/p>\n","protected":false},"author":2,"featured_media":9106,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-9105","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"\nNavigator cuts leave Americans with less help to find Obamacare plans - WestplexNews.com<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/westplexnews.com\/index.php\/2026\/04\/06\/navigator-cuts-leave-americans-with-less-help-to-find-obamacare-plans\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Navigator cuts leave Americans with less help to find Obamacare plans - WestplexNews.com\" \/>\n<meta property=\"og:description\" content=\"Kimberly Dudley, of Cincinnati, is one of the last five Affordable Care Act navigators in Ohio, helping residents find a private health care insurance plan on the public HealthCare.gov marketplace. 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