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Affordable Care Act enrollment drops by nearly 3 million as costs rise after subsidies expire

Affordable Care Act enrollment drops by nearly 3 million as costs rise after subsidies expire

Summary

New data shows that almost 3 million fewer people signed up for the Affordable Care Act (ACA) in 2026. This drop happened after the government stopped giving special financial help, called subsidies, that had lowered insurance costs during COVID-19.

Key Facts

  • ACA enrollment fell by nearly 3 million people in 2026.
  • Health insurance premiums under the ACA increased at the start of 2026.
  • The price rise followed the end of COVID-era federal subsidies.
  • The subsidies had made health insurance more affordable during the pandemic.
  • Congress allowed these subsidies to expire, leading to higher costs.
  • The increase in costs likely caused fewer people to sign up.
  • The Affordable Care Act is the U.S. federal health insurance program for individuals and families.
  • Experts, including Dr. Céline Gounder, have analyzed these enrollment and cost changes.
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