Marketplace plan selections fall in rural Texas while the state total rises
Issue
The Daily Yonder's analysis of CMS 2026 open-enrollment files found Texas plan selections rose about 5% statewide but fell more than 3% in rural counties and about 5% in exurban counties. Bastrop County fell more than 17% and Caldwell County 10%, as average net premiums rose.
These counts show sign-ups and do not show who is uninsured.
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The Daily YonderPart of
- ACA marketplace coverage and uninsured demand
Enrollment counts
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FQHC Talent. (2026, July 2). Marketplace plan selections fall in rural Texas while the state total rises. Source: The Daily Yonder. Retrieved November 11, 2026, from https://www.fqhctalent.com/intel/tx-rural-exurban-aca-enrollment-decline-july-2026