ACA marketplace enrollment down by 3M as of February, new federal data show

Fierce Healthcare – Monday, June 29, 2026
By Paige Minemyer

New federal data show that 19.2 million individuals were enrolled in Affordable Care Act marketplace plans as of February, down by nearly 3 million from 2025.

The Department of Health and Human Services Office of the Assistant Secretary for Planning and Evaluation (ASPE) points to the Trump administration’s efforts to reduce fraud and improper signups on the exchanges. However, the timing of the decline also aligns with the end of the enhanced premium tax credits, which drove significant premium increases for marketplace plans.

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