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Affordable Care Act Enrollment Drops as Subsidies Expire

1/13/2026

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Summary

Story summary

Enrollment in Affordable Care Act plans for 2026 is 22.8 million, down from 23.6 million.
The decline is attributed to the expiration of enhanced federal subsidies, which led to higher premiums.
Pennsylvania and Virginia report significant increases in terminations.
Experts warn that the full impact of these changes may not be evident until later in the year.
Open enrollment ends January 15, 2026.

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Story summary

Enrollment in Affordable Care Act plans for 2026 is 22.8 million, down from 23.6 million.
The decline is attributed to the expiration of enhanced federal subsidies, which led to higher premiums.
Pennsylvania and Virginia report significant increases in terminations.
Experts warn that the full impact of these changes may not be evident until later in the year.
Open enrollment ends January 15, 2026.