CMS data show Texas Marketplace coverage down 4% to 3.28 million
Issue
CMS's February 2026 data show about 3.28 million Texans with active Marketplace coverage, down from about 3.42 million in 2025. CMS separately counted about 4.17 million Texas plan selections during open enrollment.
The roughly 888,000 gap compares two different measures, so it does not mean all those people went uninsured.
Key points
- February effectuated enrollment and open-enrollment plan selections are different measures; label both the measure and period when briefing leaders.
- Do not infer an individual's coverage, eligibility, payment status, or care use from the statewide aggregate gap.
Sources for this story
Centers for Medicare & Medicaid ServicesPart of
- ACA marketplace coverage and uninsured demand
Enrollment counts
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FQHC Talent. (2026, July 9). CMS data show Texas Marketplace coverage down 4% to 3.28 million. Source: Centers for Medicare & Medicaid Services. Retrieved November 11, 2026, from https://www.fqhctalent.com/intel/tx-aca-marketplace-enrollment-decline-4pct-2026