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Affordable Care Act Enrollment Declines in Multiple States

Enrollment in health insurance plans through the Affordable Care Act's marketplaces decreased in several states. Ohio and Oklahoma each experienced nearly one-third fewer enrollees. This shift follows the expiration of increased federal subsidies.

07/26/2026 · South Carolina edition

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Why it matters locally: The expiration of enhanced Affordable Care Act subsidies could lead to similar enrollment declines in South Carolina, potentially impacting access to affordable health insurance for some of its 5,373,555 residents. While specific state data is not detailed in the national report, the trends seen in other states suggest a comparable effect.

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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