Premiums in states which refused federal money to expand Medicaid generally rose much, much more than states (like CA) which did not[1].
Cynically, this was likely a designed play by Republicans to kneecap the effectiveness of the ACA by skewing the risk pool towards the elderly (who require more medical care, in general).
[1] https://www.consumeraffairs.com/news/health-insurance-indust...