Here’s a link broadly covering some of the impacts to health insurance, including that plans on the exchange are projected to increase by 75% by the end of the year. These plans can cost ~ $1k/month per person, so for a small family this could easily be an additional $2000 per month.
I would say that this is soon enough that it may require those people to act immediately to find new options, especially if it means changing employment.
I recently had a situation where my employer changed to a new group plan - that despite assurances, despite the fact that all my doctors were in-network, when we got to enrollment, the new plan would not cover my specific zip code. Which we discovered 16 calendar days before the old plan expired, despite everyone on our side being very careful and thoughtful.
Fortunately, I was able to quickly enroll in the exchange which was my only option. (COBRA isn’t even a thing when your group plan terminates.) The new rules will make that dramatically harder and more bureaucratic because I would have had to prove that my plan was ending and upload all kinds of documents.
Back in the pre-ACA days, I learned that I was uninsurable as an individual, at any price, even though as far as I was concerned I was healthy and not taking any medications or being treated for any ongoing condition.
I am to the point in my life when I realize how incredibly risky it is for me to ride without being covered by health insurance. Yes they have to treat you, but yes the debt could be life-changing.
Not to mention that two of the nearest hospitals are on the list that is circulating of at risk of closure with the upcoming changes.
If you’ve got workers, highly recommend figuring out if you can purchase a group health insurance plan if you haven’t already.