
"Data published this week by the Centers for Medicare & Medicaid Services reveals that 22.8 million Americans have signed up for ACA healthcare plans via both federal and state-operated marketplaces. That's 1.4 million fewer people than the all-time high 24.2 million who had selected a plan by this time last year. Or in other words, that's an early indication of how many more Americans are now likely without any health insurance."
"The ACA, which Republicans succeeded in searing into the public lexicon as "Obamacare," is a massive government program that attempts to make health insurance available to more Americans than were once covered (such as those with preexisting conditions), making it more feasible for people not covered by plans through their employers to purchase plans on their own, with costs of premiums reduced for the consumer via government subsidies."
Republican control of Congress and the Presidency led to a decision to allow enhanced ACA premium tax credits to lapse, raising concerns about rising premiums and coverage losses. Enrollment for 2026 marketplaces reached 22.8 million, down 1.4 million from the prior year's 24.2 million. The ACA expands access to insurance, protects people with preexisting conditions, and facilitates individual plan purchases through government subsidies. Enhanced tax credits implemented during the COVID-19 pandemic significantly increased enrollment, nearly doubling prior figures, and most marketplace enrollees receive subsidies. The enrollment decline signals a likely increase in uninsured Americans as subsidies expire.
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