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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 · New Hampshire edition

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Why it matters locally: The expiration of enhanced subsidies for Affordable Care Act plans could lead to similar enrollment declines in New Hampshire, potentially impacting residents who rely on the marketplace for health insurance.

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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