ACA Marketplace enrollment falls to 19.2 million after enhanced subsidies expire
Issue
About 19.2 million people had ACA Marketplace coverage in February 2026, roughly 2.6 million fewer than in 2025, after enhanced tax credits expired, the Associated Press reported July 6. Ohio and Oklahoma each lost more than 32% of enrollees, while New Mexico, which replaced the subsidies with its own funds, gained 14%.
Dropouts may become uninsured sliding-fee patients.
Key points
- February 2026 enrollment of 19.2 million is about 2.6 million below February 2025, and KFF projects roughly 17.5 million by year-end.
- Ohio and Oklahoma each lost more than 32% of enrollees; Florida lost the most in raw numbers (~443,000); only New Mexico grew (+14%) after fully backfilling subsidies.
- HHS's separate 2.9 million program-integrity figure is a different measure from the 2.6 million drop, so keep the two apart.
Sources for this story
Associated Press / PBS NewsHour; ASPE; KFFPart of
- ACA marketplace coverage and uninsured demand
Enrollment counts
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FQHC Talent. (2026, July 6). ACA Marketplace enrollment falls to 19.2 million after enhanced subsidies expire. Source: Associated Press / PBS NewsHour; ASPE; KFF. Retrieved November 11, 2026, from https://www.fqhctalent.com/intel/ap-aca-enrollment-2-6m-decline-state-data-july-2026