KFF maps 2026 marketplace enrollment and losses by congressional district
Issue
On October 8, 2026, KFF estimated 2026 ACA Marketplace enrollment by congressional district after effectuated enrollment fell 12%, from 21.8 million to 19.2 million. Republican-held districts hold 55% of enrollees and 67% of the decline.
Enrollment equals 16% of Florida's population and 10% of Texas's. A KFF survey found 1 in 10 of 2025 enrollees said they became uninsured.
Sources for this story
KFF (Matt McGough, Justin Lo and Cynthia Cox)Sources for your board packet
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Part of
- ACA marketplace coverage and uninsured demand
Enhanced premium credits and their expiry · Enrollment counts
FQHC Talent. (2026, October 8). KFF maps 2026 marketplace enrollment and losses by congressional district. Source: KFF (Matt McGough, Justin Lo and Cynthia Cox). Retrieved October 16, 2026, from https://www.fqhctalent.com/intel/kff-marketplace-enrollment-congressional-districts-decline-october-2026