ACA Signups Are Down, But Still an Incomplete Picture

(By Jared Ortaliza for The Kaiser Family Foundation published January 12, 2026)

The Centers for Medicare and Medicaid Services (CMS) reports that, as of January 3, 2026 for states using the Healthcare.gov platform and December 27, 2025 for state-based exchanges, around 22.8M people have signed up for a plan (or been automatically renewed) during the 2026 Open Enrollment Period, down by about 830k from 23.6M people around the same time last year and down by about 1.5M from the end of Open Enrollment last year. Compared to around the same time last year, plan signs up for state-based Marketplaces in 2026 are 2% lower while plan selections for states using the Healthcare.gov platform are 4% lower. Continue reading here…

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