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ACA enrollment drops by 1M-plus after subsidies expire

ACA enrollment fell by 1.4 million in 2026 after pandemic-era subsidies expired, causing premium hikes and prompting some states to expand their own assistance programs.

  • CMS reported over 1 million fewer people enrolled in Affordable Care Act plans after enhanced tax credits expired, with nearly 23 million enrolled in 2026.
  • The Covid-era subsidies from the 2021 American Rescue Plan expired after 2025 because Congress did not renew them, and Senate Republicans refused to negotiate extension votes.
  • In state markets, Oklahoma shoppers faced average premium increases of 35% across 2026 plans, while a Los Angeles family example saw a 69% Silver plan jump to $699 from $414 this year.
  • Across states, California allocated $190 million this year to ease premiums but faces a $2.5 billion loss, while a combined 10 states now provide state-funded subsidies.
  • Experts warn potentially millions could lose coverage as insurance carriers start auto-dropping nonpayers, triggering a passive disenrollment wave around April and increasing pressure on hospitals and clinics.
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By Tami Luhby, CNN. More than 1 million fewer people have enrolled in Affordable Care Act plans for 2026, according to federal data released Wednesday. The drop comes after expanded federal subsidies for premiums expired, causing monthly payments to soar for many enrollees. Nearly 23 million people selected plans for 2026, according to the Centers for Medicare & Medicaid Services. That compares with just under 24.2 million people at a similar ti…

·Idaho Falls, United States
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Obamacare enrollment drops after enhanced premium subsidies expire

More than a million fewer people have signed up for Affordable Care Act coverage for 2026, according to federal data released Wednesday. The drop comes after the expiration of the enhanced federal premium subsidies caused monthly payments to skyrocket for many enrollees.

·Atlanta, United States
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NW Arkansas Democrat Gazette broke the news in Arkansas, United States on Wednesday, January 28, 2026.
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