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Story perspectives

ACA Loses 2.6 M; Ohio, Oklahoma Plunge, New Mexico Gains

7/7/2026

32 3 Full Breakdown

Summary

Story summary

Ohio and Oklahoma each lost over 32% of ACA enrollees, the steepest state declines.
Data show 2.6 million fewer Americans in the ACA in February 2026 after the January 2026 expiration of enhanced premium tax credits.
New Mexico added 14% enrollment by using state funds to replace lost subsidies through mid-2027, the only state to gain.
Analysts say most who left the marketplace are uninsured because the ACA exchange is a last-resort option.

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Story summary

Ohio and Oklahoma each lost over 32% of ACA enrollees, the steepest state declines.
Data show 2.6 million fewer Americans in the ACA in February 2026 after the January 2026 expiration of enhanced premium tax credits.
New Mexico added 14% enrollment by using state funds to replace lost subsidies through mid-2027, the only state to gain.
Analysts say most who left the marketplace are uninsured because the ACA exchange is a last-resort option.