Meanwhile a recent federal court ruling has paused a few other potential changes to how people can purchase health insurance. A President Joe Biden-era policy also allowed these populations to be able to enroll in the ACA marketplace, but as of Aug. 25, they are no longer eligible. Preemptively, Aetna has already announced it’s pulling out of the ACA Marketplace, though it didn’t say why when theyMercury asked. “These three issues are definitely causing instability in the marketplace,” Norris said, noting how the changes create “hoops” that not everyone can jump through. She is pressing her colleagues to renew the ACA tax credits and wants to work with others on undoing parts of the OBBA.