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Health Insurance Marketplace premiums for 2015 averaged 7% lower in states that had expanded Medicaid eligibility to low-income adults under the Affordable Care Act than in states that had not, according to an  released today by the Department of Health and Human Services. “Because lower-income individuals on average have poorer health status than those with higher incomes, a state’s decision not to expand Medicaid affects the Marketplace risk pool and, ultimately, Marketplace premiums,” HHS . Yesterday, HHS  that advance premium tax credits would keep premiums affordable for most Marketplace consumers even if 2017 premiums were to increase by 25% or more.