Affordable Care Act

The ACA MarketplaceS

Individual Market Enrollment Declined by 18% Since June 2025

Individual Market Enrollment Fell 18%, Suggesting Continued ACA Marketplace Losses

Enrollment in the individual health insurance market fell by 18%—over 4.6 million people—from 25.2 million in June 2025 to 20.5 million in June 2026. Falling individual market enrollment suggests further decline in ACA Marketplace enrollment this year, since Marketplace enrollees represent the vast majority of individual market coverage.

About the ACA

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Did the Affordable Care Act Make Health Care More Affordable?

The expiration of the ACA’s enhanced premium tax credits at the start of 2026, combined with rising insurer premiums, put a spotlight on health care affordability that extends beyond Marketplace enrollees. KFF’s Cynthia Cox examines the ACA’s record and the broader underlying question it raises: what’s a fair price for Americans people to pay for health care?

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  • Webinar for Journalists: A Year-End Update on the ACA Rollout & Looking Ahead to 2014

    Event Date:
    Event

    Two and an half months into the open enrollment period for the Affordable Care Act, where does the rollout of the law stand with marketplace coverage set to begin on January 1, 2014? Featuring two Kaiser Family Foundation experts--Larry Levitt, Co-Director of the Foundation's Program for the Study of Health Reform and Private Insurance & Senior Vice President, and Jennifer Tolbert, State Health Policy Director--the webinar touched on some of the major questions as people…

  • The Numbers Behind “Young Invincibles” and the Affordable Care Act

    Perspective

    As enrollment statistics in the new health insurance marketplaces start to become available, there is a growing focus on whether the enrollment of so-called “young invincibles” will be sufficient to keep insurance markets stable. Enrollment of young adults is important, but not as important as conventional wisdom suggests since premiums are still permitted to vary substantially by age. Because of this, a premium “death spiral” is highly unlikely. Why does the age distribution of enrollees…

  • How Will the Uninsured in Ohio Fare Under the Affordable Care Act?

    Fact Sheet

    This state report explains how the ACA expands coverage in Ohio, including a breakdown of how many uninsured people are eligible for Medicaid, how many are eligible for financial assistance to help them buy private insurance in the new Marketplace and how many will not receive any financial assistance at all. The report also details, in specific dollar figures, the income levels at which people in Ohio are eligible for Medicaid or financial assistance in…

  • How Will the Uninsured in Texas Fare Under the Affordable Care Act?

    Fact Sheet

    This state report explains how the ACA expands coverage in Texas, including a breakdown of how many uninsured people are eligible for Medicaid, how many are eligible for financial assistance to help them buy private insurance in the new Marketplace and how many will not receive any financial assistance at all. The report also details, in specific dollar figures, the income levels at which people in Texas are eligible for Medicaid or financial assistance in…

  • Health Insurance Premiums in the Individual Market in 2010

    Feature

    Health Insurance Premiums in the Individual Market in 2010 Download Source Kaiser Family Foundation analysis of 2010 insurer filings to the National Association of Insurance Commissioners using the Mark Farrah Associates Health Coverage Portal. The Average premium is calculated as total premium revenues in a state divided by the number of total member months. The per member per month premium is an average across adults and children, so will be lower than a premium typically…

  • How Many Are Affected?

    Feature

    How Many Are Affected? Download Source Kaiser Family Foundation  

  • How People Get Covered

    Feature

    How-People-Get-Covered-HEALTHREFORM Download Source Kaiser Family Foundation