ACA health insurance enrollment dropped by 1.4 million. See which states had the biggest swings.

Millions are at risk of losing health insurance without Affordable Care Act subsidies.

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• 1.4 million fewer Americans enrolled in ACA marketplace health insurance in 2026 than a year before.
• Low- and middle-income Americans are facing higher health insurance costs after subsidy loss.
• Experts warn of further ACA enrollment declines as households begin receiving medical bills.

The disappearance of Affordable...