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Virginia ACA enrollment drops by more than 44,000 as federal tax credits expire

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Virginia ACA enrollment drops by more than 44,000 as federal tax credits expire


RICHMOND, Va. — Virginia state Democrats are proposing using state funds to help Virginians afford health insurance premiums after federal tax credits expired at the end of last year.

The director of Virginia’s Insurance Marketplace said that expiration has led to tens of thousands of Virginians losing health insurance coverage through the state’s Affordable Care Act marketplace this year and warns it could grow to 100,000 without intervention.

“Our customers are Virginians who don’t have another option for health insurance coverage,” said director Keven Patchett.

Patchett said when open enrollment closed on Jan. 30, 2026, 19,000 fewer Virginians had signed up compared to the previous year (389,000 compared to 370,000).

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He added since then an additional 25,000 have lost coverage — which is three times more than the number who lost coverage during the same time period last year.

When asked if the loss in federal tax credits was the reason behind the drop, Patchett said, “It’s the only factor that has changed.”

Patchett made those remarks Wednesday at a press conference focused on options for helping Virginians impacted by the credits ending.

Among those feeling the impact is Lester Johnson, who owns Mama J’s restaurant in Richmond.

Johnson still has his marketplace coverage, but his monthly premiums for his family of 3 have risen from $650 to around $1,000 — an increase of nearly 54%.

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“This is really affecting people’s ability to, kind of, manage their budgets and their families livelihoods,” Johnson said.

Johnson attended Wednesday’s State of the Union address as the guest of Congresswoman Jennifer McClellan, a Democrat who represents Richmond. His presence was intended to highlight the need for Congress to reinstate the tax credits.

“It needs to be definitely as much energy and conversation around it as some of these other policy decisions that have been made recently,” Johnson said.

The U.S. House has voted to extend the credits for 3 years, with 17 Republicans joining Democrats in support of the measure, including Virginia Republican Congressman Rob Wittman (VA-01). The U.S. Senate has not passed the extension.

“I have heard from Virginians about the cost of healthcare and the importance of expanding access for hardworking families,” Wittman said in a statement. “In January, I voted for a short-term extension of the enhanced premium tax credits not as an endorsement of the current system, but as a bridge to give Congress the time to pursue meaningful reforms. I will continue to work with my colleagues in both chambers and across the aisle to address the cost of healthcare and push for reforms that put patients back in charge.”

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With federal action still uncertain, Virginia Democrats are proposing to use state budget funds to replace the tax credits for at least one year.

The House has put forward an $79 million proposal, while the state Senate is proposing $200 million.

“It’s our responsibility as Democrats to step up and this is what our budget amendments do,” Del. Rodney Willett, a Democrat representing Henrico County, said of the House proposal.

“Both budgets emphasized the need to fill gaps in healthcare. So how we go about that and what the numbers actually end up being still a few weeks away,” Sen. Barbara Favola, a Democrat representing Fairfax, said.

Patchett said that the number of Virginians who could loss coverage on the state marketplace without help could reach 100,000, which he based off of the increase that was seen when the federal tax credits were expanded in 2021.

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“And that was nearly 100,000 Virginians who benefited from that expansion. And so our concern has been that we’re going to see a number very close to that 100,000 drop coverage. And the indicator suggests that that may still happen,” Patchett said.

Patchett said that regardless of the amount lawmakers agree on, the exchange has the authority to create a special enrollment period to help Virginians who have lost or dropped their coverage.

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Senate approves lawmaker pay raise as teacher pay hike stalls in Virginia budget talks

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Senate approves lawmaker pay raise as teacher pay hike stalls in Virginia budget talks


As the legislative session in Richmond comes closer to an end, lawmakers are still hard at work hammering out the budget for the year ahead. This year, the Senate has approved a pay raise for lawmakers after tabling bills that would have provided larger pay increases for teachers.

With the cost of living rising, teachers across Virginia have been watching the proposed budget closely and hoping for higher pay.

In February, a bill that would have raised teacher salaries by 4.5% each year until reaching the national average of $77,000 was tabled until next year. The decision left some educators disappointed.

“It’s definitely disappointing. We’re at a time where we are struggling to keep highly qualified staff in the buildings and in the profession, to be quite honest, because we have to compete with other industries,” Karl Loos, president of the Lynchburg Education Association, said.

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SEE ALSO: ‘Strangest election cycle:’ Registrars prepare for referendum vote despite legal limbo

There is still a 3% increase for teachers included in the proposed Senate budget, and a 2% increase in the House of Delegates’ proposed budget. But Loos said a 3% raise only matches the rate of inflation, and will likely not be appealing enough to fill vacant positions.

“I think certainly teacher pay is a deterrent for a lot of people, especially as they see the amount of work that goes into it and the compensation for that work,” Loos said.

The Virginia Education Association also advocated for the 4.5% pay increase. Chad Stewart, the interim director of Government Relations and Research, said they believe budget uncertainty may have made lawmakers hesitant to commit to long-term increases they might not be able to sustain.

According to the State Fiscal Impact Statement, seen below, it would have required an additional $159.0 million in 2027, and increasing amounts for the next couple of years to meet the goal of reaching the national average.

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“We’ve seen commitments going back decades from previous governors who have all stated they want to get the national teacher pay average, but no governor has ever delivered on it,” Stewart said.

Stewart said the average national pay for teachers they are hoping to meet is $77,000, and that the current average salary for teachers in the Commonwealth is around $70,000. He said ultimately it comes down to the budget, and he hopes in the following years teachers will receive that larger pay increase. Stewart said the organization hopes Gov. Spanberger will be the first to follow through on that promise.

Meanwhile, legislation that would increase pay for state lawmakers was passed in the Senate on Thursday. Republican Del. Tim Griffin of the 53rd District said he voted against the measure.

“I was outraged last week when they raised their own pay. I voted against it,” Griffin said. “When you run on affordability, I think people expected it to be more affordable for the people that live and work in Virginia, not for ourselves. It kind of defeats the purpose.”

When asked about the proposed pay increases in the House and the Senate, Campbell County Superintendent Clay Stanley said in a statement, “I am praying for 3%. Our teachers, at minimum, deserve a raise that matches the cost of living increase.”

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ABC13 reached out to local Democratic lawmakers for comment on the teacher pay raise legislation, but did not receive a response.



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Why a 6-year-old with diabetes is pushing for change in Virginia – WTOP News

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Why a 6-year-old with diabetes is pushing for change in Virginia – WTOP News


First grader Ruston Revell is pressing Virginia lawmakers to pass a bill that he argues will make schools safer for kids with diabetes.

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Why a 6-year-old with diabetes is pushing for change in Virginia

Speaking in front of Virginia lawmakers, 6-year-old Ruston Revell needs a wooden stool to reach the microphone for his testimony about diabetes.

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Dressed in his blue suit and red tie, he’s there on a mission.

“Living with diabetes isn’t easy, there are lots of ups and downs — just like my blood sugar,” Ruston told legislators in the Virginia General Assembly.

The legislation that brought Ruston from Prince William County to Richmond would update an existing law to specify how Virginia schools handle accommodations for students with diabetes.

“When I’m at school, my nurse and all my teachers help me when I need it, but not all kids like me are that lucky,” Ruston told WTOP. “These bills change that, so kids with diabetes can be safer in schools.”

He’s testified before committees in both chambers as corresponding bills move through the Virginia General Assembly. HB1301 and SB122 have both earned support in their respective chamber.

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“Although, I’m small, my voice is big and it can change the world,” Ruston said.

In his testimony, the first grader clearly explained the care he requires to manage his Type 1 diabetes during the school day.

“He just pops up on his little stool and takes control of the room,” said Kelly Revell, Ruston’s mom. “It’s usually a little quiet, and after he finishes, he gets a whole room full of applause.”

Today, Ruston enjoys playing baseball, swimming and spending time at the playground.

But things were different before his diagnosis five years ago.

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A life-changing diagnosis at 15 months old

During the summer of 2020, Kelly said her son started showing signs of diabetes, such as extreme thirst — symptoms she recognized because her father had been diagnosed in his 20s.

“He would just lounge around the house and have no interest in playing with his sister,” Kelly said. “He stopped eating, so he was eventually airlifted to Children’s National in D.C., where he was admitted to the pediatric ICU for nearly a week.”

At just 15 months old, Ruston was diagnosed with Type 1 diabetes. Kelly said that news was life-changing.

“Now, in order to keep him alive, we have to hurt him multiple times a day, by giving him four to five shots and even a dozen finger pricks just to make sure his blood sugar is in range,” she recalled.

Type 1 diabetes is an autoimmune disease where the body attacks cells that make insulin. A lack of insulin can lead to high blood sugar, which could cause serious health issues or be deadly.

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“We had to wake up at 2 a.m. every night for six weeks, before we started utilizing technology, just to make sure that he was safe and healthy with his blood sugar,” Kelly said. “A lot of times, it resulted in phone calls to the hospital because he was at a dangerous level, and then we would be up for hours making sure he was back in range.”

For the Revell family, managing Ruston’s diabetes looks different nowadays.

Ruston Revell, 6, has traveled from Prince William County to Richmond to testify in favor of a bill surrounding Virginia schools and students with diabetes.
(Courtesy Kelly Revell)

Courtesy Kelly Revell

Ruston stands alongside Virginia Sen. Jeremy McPike, who sponsored the bill in the upper chamber
Ruston stands alongside Virginia Sen. Jeremy McPike, who sponsored the bill in the upper chamber.
(Courtesy Kelly Revell)

Courtesy Kelly Revell

Ruston testifying in front of Virginia lawmakers
Ruston and other advocates say the bill would make schools safer for kids with diabetes.
(Courtesy Kelly Revell)

Courtesy Kelly Revell

Ruston and his mom Kelly (middle) have joined other advocates in Richmond to press legislators to pass the bill
Ruston and his mom Kelly (middle) have joined other advocates in Richmond to press legislators to pass the bill.
(Courtesy Kelly Revell)

Courtesy Kelly Revell

Ruston poses in Richmond
The statewide regulations on diabetes care in school haven’t been updated since 1999, Kelly said.
(Courtesy Kelly Revell)

Courtesy Kelly Revell

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How a 6-year-old handles his diabetes

Ruston knows how to prick his finger to check whether his blood sugar is in range.

“My mom and dad help me change my insulin pump every three days, and my CGM every 10 days,” Ruston said, referencing his continuous glucose monitor, known as a CGM.

“It hurts, but at least I don’t have to do shots. They’re the worst.”

Living with diabetes, Ruston needs to calculate the number of carbs he’s getting to determine his insulin dose, which is administered automatically through a pump.

“He is a pro at using a food scale,” Kelly said. “If he wants to eat anything, apple slices, we cut them up, and he puts them on the food scale and determines how many carbs are in that.”

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Halfway through his interview with WTOP, Ruston’s phone beeped, flagging his low blood sugar and triggering a quick juice-box break.

That’s the kind of intervention he could require at school.

“When I’m low, Nurse Barnes tells Ms. Grant for me to have a juice box or gummies,” Ruston said, describing a snack to correct his blood sugar.

At his current school, Kelly said Ruston has had all his medical accommodations met since his first day of kindergarten.

“He gets so many hugs. Everyone knows him. He walks into the front office every day to visit the clinic, and they just they really take care of him,” she said.

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Things were more complicated before Ruston began kindergarten. Kelly said the family was initially told that the accommodations requested by his doctor would not be allowed.

“What was most difficult at the time was the thought that a kindergartener would be responsible for alerting adults if his phone signaled a low or high blood sugar, rather than having trained staff receive those alerts directly through available technology,” she told WTOP.

The situation was resolved, but it drew Kelly’s attention toward legal protections for kids with diabetes.

What Kelly and Ruston are asking Virginia lawmakers to do

ruston stands at podium talking
Ruston told lawmakers about his experience managing diabetes during the school day. (Courtesy Kelly Revell)

For the past several years, Kelly has been involved with an advocacy group, FOLLOWT1Ds, which argues that unclear or inconsistent school policies can create stress for families and put kids in danger.

“Prince William County has updated their diabetes policies recently, so more students with diabetes across our county are better protected,” Kelly said. “But that’s not happening everywhere in Virginia.”

The bills moving through the Virginia legislature would require school systems to create a divisionwide plan for supporting students with diabetes.

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That would include making sure school staff are trained to follow through with a child’s medical orders.

“You really have to put in all of your trust in your school,” Kelly said. “This is a life-threatening disease, and if they forget to give him a juice box when he’s low, that can result in him going to the hospital, or it could be fatal.”

The legislation would also require schools have procedures for administering insulin and glucagon.

Families who have students with diabetes would send schools medical orders from their doctors that outline the child’s needs.

“A lot of times, the schools will either deny or modify these accommodations, even though they’re medically necessary,” Kelly said.

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The statewide regulations haven’t been updated since 1999, Kelly said.

“While we’ve had all of these technology advances, like the insulin pump and the CGM, Virginia still hasn’t advanced their laws to align with standard methods of care that we’re using today,” Kelly said.

Ruston doesn’t receive insulin shots anymore. But Virginia law is behind on that front, according to Kelly and other advocates.

“Right now, the policy in Virginia, if his pump were to fall off while at school, they would, instead of reinsert the pump, they would give him a shot,” Kelly said.

In that scenario, Kelly said the school employee would have to calculate how much insulin to dose.

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“I wouldn’t even know what to dose him, because with the pump, it’s automated nowadays,” she said. “It would require an immediate call to his doctor for guidance.”

She worries that it could lead to a miscalculation and health complications.

Kelly said the lack of consistency can impact older students, too. She said some high schoolers have gotten in trouble for having their cellphones at schools that ban the devices.

But those phones let students monitor their blood sugar, communicate medical treatments and administer insulin.

It’s the second year in a row that advocates like Kelly have asked legislators in Richmond to approve revisions to state law.

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This time, Ruston is joining the push for change by sharing his story with lawmakers.

“I want to make sure other kids in different schools can have more help with diabetes,” Ruston told WTOP.

Anyone interested in following the legislation or submitting a comment to lawmakers can find more information on FOLLOW T1Ds’ website.

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© 2026 WTOP. All Rights Reserved. This website is not intended for users located within the European Economic Area.

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Del. Dan Helmer on Virginia redistricting and congressional run

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Del. Dan Helmer on Virginia redistricting and congressional run


Virginia Delegate Dan Helmer led fellow Democrats to major gains in November’s election. Now he’s turning his attention to the redistricting of the Commonwealth, and a run in the newly proposed 7th district. He joins Sydney Persing on The Final 5 to discuss. 



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