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Affordable Care Act Enrollment Declines in Multiple States

July 26, 2026

Why it matters locally: While the national data highlights declines in Ohio and Oklahoma, the broader trend in ACA enrollment due to expiring subsidies could also influence health insurance access and affordability for Georgians relying on marketplace plans.


Federal data shows a reduction in the number of individuals enrolled in health insurance plans through the Affordable Care Act's (ACA) marketplaces across various states. The data provides a comprehensive state-by-state breakdown of these enrollment changes. Ohio and Oklahoma each experienced a decrease of nearly one-third in their respective enrollee populations. This detailed federal information represents the first complete 50-state analysis of enrollment shifts. These declines occurred after the expiration of enhanced subsidies, which previously offered additional financial assistance to individuals purchasing health coverage through the ACA marketplaces.

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