Texas Hits Record 4.17M ACA Marketplace Enrollment for 2026 — 2nd Nationally — Despite Subsidy Lapse
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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The Texas TribuneSource packet
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FQHC Talent. (2026, January 13). Texas Hits Record 4.17M ACA Marketplace Enrollment for 2026 — 2nd Nationally — Despite Subsidy Lapse. Primary source: The Texas Tribune. Retrieved July 21, 2026, from https://www.fqhctalent.com/intel/tx-aca-enrollment-record-2026
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