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Analysis Shows Drop in Affordable Care Act Marketplace Enrollment

June 12, 2026

Why it matters locally: Texas has one of the largest uninsured populations in the nation. The enrollment decline could affect access to affordable coverage for Texans who rely on Healthcare.gov and state marketplace options.


Washington – A recent analysis by KFF revealed a decrease in the number of people enrolled in health insurance plans through Affordable Care Act (ACA) marketplaces, including Healthcare.gov. The KFF paper indicates a reduction of 5 million individuals with such coverage. Data analysis showed the decline occurred over a specific period; details of which were included in the paper. Previously, individuals obtained health insurance through these marketplaces. Healthcare.gov serves as a portal for individuals to purchase health insurance. State-based marketplaces operate similarly, offering coverage options under the ACA. The KFF analysis focuses on enrollment trends within these marketplaces.

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