Texas Hits Record 4.17M ACA Marketplace Enrollment for 2026, 2nd Nationally, Despite Subsidy Lapse
Issue
ACA marketplace coverage and uninsured demandTaking effect
Texas recorded 4.17 million marketplace plan selections through Jan. 15, 2026 — up 5% and a new state record, second only to Florida even as national enrollment fell 5%. Analysts caution the figure counts plan selections, not paid premiums, and some auto-renewed enrollees may not realize their costs jumped after the enhanced credits lapsed — a churn risk that flows straight to FQHC payer mix.
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Part of
- ACA marketplace coverage and uninsured demand
Enrollment counts
FQHC Talent. (2026, January 13). Texas Hits Record 4.17M ACA Marketplace Enrollment for 2026, 2nd Nationally, Despite Subsidy Lapse. Source: The Texas Tribune. Retrieved October 6, 2026, from https://www.fqhctalent.com/intel/tx-aca-enrollment-record-2026