Millions drop Obamacare coverage after subsidies expire, costs rise
Summary
About 3 million fewer people had health insurance plans under the Affordable Care Act (Obamacare) in February 2026 compared to the previous year. This drop is linked to the end of federal subsidies that made insurance more affordable, causing many to face higher costs and drop their coverage.Key Facts
- Enrollment in Obamacare plans dropped from 22.1 million in 2025 to 19.2 million in 2026.
- The 13% decline is partly linked to the end of federal subsidies on January 1, 2026.
- Without subsidies, many people faced premium increases of double or triple digits.
- The Department of Health and Human Services reported the enrollment decline in April 2026.
- Some experts mentioned a federal effort to identify fraudulent enrollments but say cost increases are the main reason.
- The decline affects working-age adults who do not qualify for Medicaid.
- The Affordable Care Act subsidies were a major topic of debate in Congress in late 2025.
- Analysts predict enrollment may drop further, possibly to about 17.5 million by the end of 2026.
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