CMS February Marketplace data show 2.61M fewer effectuated enrollments than in 2025; New Mexico increased 14.5%
CMS's Health Insurance Exchanges Monthly Effectuated Enrollment file reports 21,776,626 effectuated enrollments for February 2025 and 19,169,147 for February 2026 — 2,607,479 fewer, or about 12.0%. New Mexico moved from 69,915 to 80,047, an increase of about 14.5%.
These are state and national aggregate counts for the February observation period, not person-level records. CMS describes effectuated enrollment as active Marketplace coverage for which the premium was paid when applicable.
The dataset does not establish why enrollment changed, whether a particular person became uninsured or changed coverage, whether anyone sought care at an FQHC, or what happened after February. Finance and access teams may use the aggregate as a payer-mix scenario input, but should verify patient coverage only through approved eligibility channels and should not place applications, notices, income, immigration, or clinical information in FQHC Talent.
Key takeaways
- 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.
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FQHC Talent. (2026, June 26). CMS February Marketplace data show 2.61M fewer effectuated enrollments than in 2025; New Mexico increased 14.5%. Linked evidence: Centers for Medicare & Medicaid Services. Retrieved September 20, 2026, from https://www.fqhctalent.com/intel/aca-marketplace-effectuated-enrollment-observed-decline-2026
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