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ACA marketplace enrollment declines as subsidies expire in 2026

Summary by Hfma
CMS’s latest 2026 enrollment numbers for the Affordable Care Act (ACA) marketplaces indicate a relatively moderate drop-off from 2025, although the final tally could look notably different. The agency reported this week that 23.1 million were enrolled at the close of open enrollment for Healthcare.gov and the state-run marketplaces. That’s a 4.9% decline from 2025, when enrollment reached a record 24.3 million. Going into 2026, the big policy ch…
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hfma broke the news in on Thursday, April 2, 2026.
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