Affordable Care Act Marketplace and Medicaid Expansion Enrollment Reached a Combined 44 Million in 2024  

(Chris Lee for The Kaiser Family Foundation published January 15, 2025)

A new KFF analysis finds that there were 44 million people enrolled in health coverage through the Affordable Care Act’s Marketplaces and its expansion of the Medicaid program in 2024. That represents about 1 in every 6 people under age 65, or 16.4%.

There was significant variation in ACA enrollment across states, ranging from about 1 in 4 nonelderly people in Louisiana, Oregon, Florida, and New York to fewer than 1 in 10 in Tennessee, Alabama, Wyoming, Kansas, and Wisconsin, according to the analysis. Continue reading here…

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