Subsidy Sunset Drives 1.4 Million Drop in ACA Enrollments for 2026

TL;DR Summary
CMS data show 1.4 million fewer people enrolled in ACA marketplace plans in January 2026 than January 2025, as the expiration of enhanced subsidies raises costs for low- and middle-income Americans; declines are concentrated in the South and Southeast, with some states like Texas and California bucking the trend. Experts warn higher premiums and potential loss of coverage as households face bills, and analysts expect enrollment to fall further amid continued political battles over subsidies.
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