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Story perspectives

Michigan ACA Enrollment Drops Amid Rising Premiums, Subsidy Uncertainty

1/15/2026

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Story summary
  • About 40,000 fewer Michiganders enrolled in Affordable Care Act plans this year due to higher premiums and expiring subsidies.
  • Federal data show 491,565 Michiganders signed up this year, down from 531,083 last year.
  • National enrollment fell by 1.4 million, or 6%, as costs rise.
  • Congress is debating options to extend subsidies, with no agreement yet.
  • U.S. President Donald Trump plans a new health care affordability framework.