ACA Enrollment Backslides to 23M in 2026

Almost 23 million Americans signed up for health insurance coverage on the Affordable Care Act exchanges this year, the CMS said. That’s down 5% from last year’s record high, but not the nosedive some market watchers predicted given steep premium increases for ACA plans. Some 3.4 million people are new to the marketplaces, while 19.6 million already had ACA coverage and re-enrolled. Enrollment trends differ across the country. Much of the volume was driven by Texas alone, where more than 200,000 additional people signed up for coverage in 2026 compared to 2025.

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Source: https://www.healthcaredive.com/news/affordable-care-act-enrollment-2026-cms-snapshot-23-million/810790/

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