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

Federal marketplace states saw the steepest losses, and New Mexico was the only state to gain enrollees after replacing expired subsidies.

  • New federal data reveals that around 2.6 million fewer Americans had Affordable Care Act plans in February compared to last year, following the January expiration of enhanced federal subsidies.
  • While the U.S. Department of Health and Human Services cited a crackdown on fraudulent or "phantom" enrollment, analysts argue the drop stems primarily from the January subsidy expiration and tightened immigrant requirements.
  • Ohio, Oklahoma, and Arizona saw declines exceeding 32% over the past year, while New Mexico gained 14% by using state funds to replace the expired federal subsidies.
  • With nearly 4 million residents in the marketplace, Florida saw the largest decline of around 443,000 enrollees, as KFF vice president Cynthia Cox characterized the marketplace as a "place of last resort" for those without other options.
  • About three in five states use the federal marketplace, which experienced larger enrollment losses than states operating their own exchanges where local officials more frequently implemented measures to offset the expired subsidies.
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Millions drop Affordable Care Act plans, new data shows: See states where enrollments dropped most

New federal data shows changes in each state’s insured population led to around 2.6 million fewer Americans having Affordable Care Act (ACA) health insurance plans in February compared with the same time last year.

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Winnipeg Free Press broke the news in Winnipeg, Canada on Monday, July 6, 2026.
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