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The States Seeing the Biggest Obamacare Enrollment Drops

The States Seeing the Biggest Obamacare Enrollment Drops

Summary

Affordable Care Act (Obamacare) enrollment dropped by 1.2 million people during the 2026 sign-up period after federal tax credits expired. This led to higher insurance costs and fewer Americans signing up for coverage, especially in 41 states with notable declines.

Key Facts

  • ACA enrollment fell 5% in 2026, the largest drop since the program started in 2014.
  • Enhanced federal tax credits that helped lower costs expired at the end of 2025.
  • Without these credits, insurance premiums rose about 75% on average.
  • Enrollment decreased in 41 states; North Carolina had the largest drop at 22%.
  • Some states like New Mexico saw enrollment rise, with an 18% increase.
  • The highest enrollment losses were among people just above the former subsidy income levels.
  • Rising costs are the main reason people are dropping coverage or avoiding sign-up.
  • Experts warn that ACA enrollment may shrink further in 2026, potentially leaving 5 million more Americans uninsured.
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