Enrollment in Affordable Care Act marketplace plans fell by about 2.6 million people compared with the same period last year, according to new federal data.
According to the report, the decline followed the expiration of enhanced federal premium subsidies in January, although the U.S. Department of Health and Human Services also pointed to efforts to eliminate fraudulent or "phantom" enrollments.
The report said analysts believe the loss of subsidies, along with stricter eligibility requirements for some immigrants, played the largest role in reducing enrollment.
Florida experienced the largest numerical decline, losing roughly 443,000 marketplace enrollees.
According to the report, states relying on the federal exchange generally saw steeper enrollment losses than those operating their own marketplaces, where officials adopted policies to help offset the end of the enhanced subsidies.
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Obamacare rolls shrank dramatically in many states over the past year, new federal data shows https://t.co/4roxD38uoL
— Michael Chapman (@MWChapman) July 6, 2026
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