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Obamacare rolls shrank dramatically in many states over the past year, new federal data shows

Obamacare rolls shrank dramatically in many states over the past year, new federal data shows

Summary

The number of people covered by Obamacare health insurance dropped a lot in many states over the past year, according to new data from the federal government. This drop happened after special government help to pay premiums ended in January, causing millions of Americans to lose coverage.

Key Facts

  • Ohio and Oklahoma lost about one-third of their Obamacare enrollees in the past year.
  • Nationwide, 2.6 million fewer people had Obamacare plans in February compared to the previous year.
  • The data include people who signed up, renewed, and paid their first premiums in 2026.
  • The decline followed the end of enhanced premium subsidies that helped lower monthly insurance costs.
  • Health insurance costs increased sharply after the subsidies expired, causing some to stop coverage.
  • States like Arizona, South Carolina, Minnesota, Indiana, Michigan, Mississippi, Louisiana, and Missouri also lost more than a quarter of their enrollees.
  • Florida still has many people using Obamacare, partly because it did not expand Medicaid and has many gig workers.
  • The federal government suggested fraud reduction efforts might have affected enrollment numbers, but analysts say the main cause was subsidy expiration and stricter immigrant eligibility.
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