CMS counts 2.61 million fewer active Marketplace enrollments than in February 2025
Issue
CMS data show 19,169,147 effectuated Marketplace enrollments in February 2026, down from 21,776,626 in February 2025. That is 2,607,479 fewer, or about 12.0%, while New Mexico rose about 14.5%, from 69,915 to 80,047.
Effectuated means active coverage with the premium paid when required, and the numbers do not show why enrollment changed.
Key points
- CMS February aggregate: 21,776,626 (2025) → 19,169,147 (2026), a decrease of 2,607,479 or about 12.0%.
- New Mexico increased from 69,915 to 80,047, about 14.5%; this dataset measures the change but does not prove its cause.
- Do not infer current insurance status, a move to self-pay, FQHC utilization, or uncompensated care from this aggregate; verify each operational question with the appropriate source.
Sources for this story
Centers for Medicare & Medicaid ServicesPart of
- ACA marketplace coverage and uninsured demand
Enrollment counts
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FQHC Talent. (2026, June 26). CMS counts 2.61 million fewer active Marketplace enrollments than in February 2025. Source: Centers for Medicare & Medicaid Services. Retrieved November 11, 2026, from https://www.fqhctalent.com/intel/aca-marketplace-effectuated-enrollment-observed-decline-2026