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ACA enrollment drops by 1M-plus after subsidies expire

California enrolled nearly 1.9 million for ACA coverage in 2026 with less than 1% decline despite expiration of federal subsidies and rising premiums statewide.

  • Over a million fewer people have signed up for Affordable Care Act coverage for 2026, according to federal data released Wednesday.
  • The decline follows the expiration of enhanced federal premium subsidies, which caused monthly payments to skyrocket for many enrollees.
  • Several states have seen significant drops in enrollment, with North Carolina experiencing a 22% plunge, according to Cynthia Cox.
  • Experts predict total enrollment will likely fall as many consumers face higher premiums and may not keep coverage.
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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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KITV4 News broke the news in Honolulu, United States on Thursday, January 29, 2026.
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