"States like Florida, Ohio, North Carolina, and Georgia saw the most significant dips. "People have less access to care, and that tends to translate into worse health outcomes," said Matthew Fiedler, a senior fellow at The Brookings Institution. He added that many households' financial security is at risk: "People will face big bills that they either can't pay, and that hurts their credit. Or they do pay, but it requires them to skimp in other areas.""
"1.4 million fewer Americans enrolled in ACA marketplace health insurance in 2026 than a year before. The disappearance of Affordable Care Act subsidies has millions of households feeling health insurance sticker shock. The number of marketplace enrollees declined most significantly in the South and Southeast, though the majority of states reported a downswing. Florida saw enrollment dive by more than 260,000 people. Registration in a few states, like Texas and California, increased."
ACA marketplace enrollment dropped by 1.4 million from January 2025 to January 2026, with the largest decreases in Florida, Ohio, North Carolina, and Georgia. The end of ACA premium subsidies has increased costs for low- and middle-income households, producing widespread sticker shock and prompting some people to leave marketplace coverage. Declines were concentrated in the South and Southeast, though a few large states saw increases. Many households now face higher out-of-pocket bills, which threatens financial security and credit, and further enrollment declines are possible as households begin receiving medical bills.
Read at Business Insider
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