How Has ACA Marketplace Enrollment Changed Across States in 2026?

(Authors: Justin Lo, Matt McGough, and Cynthia Cox for The Kaiser Family Foundation Published: Jul 28, 2026)

Following several years of rapid enrollment growth in the Affordable Care Act (ACA) Marketplaces that corresponded with temporary enhanced premium tax credits, enrollment fell for the first time in seven years in 2026, when those tax credits expired. The Assistant Secretary for Planning and Evaluation (ASPE) of the Department of Health and Human Services reported that enrollment declined by nearly three million people between 2025 and 2026. Continue reading here…

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