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

    Fact Sheet

    This state report explains how the ACA expands coverage in Iowa, 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 Iowa are eligible for Medicaid or financial assistance in…

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

    Fact Sheet

    The 2010 Affordable Care Act (ACA) has the potential to extend coverage to many of the 47 million nonelderly uninsured people nationwide, including the 369,000 uninsured Kansans. The ACA establishes coverage provisions across the income spectrum, with the expansion of Medicaid eligibility for adults serving as the vehicle for covering low-income individuals and premium tax credits to help people purchase insurance directly through new Health Insurance Marketplaces serving as the vehicle for covering people with…

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

    Fact Sheet

    This state report explains how the ACA expands coverage in Louisiana, 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 Louisiana are eligible for Medicaid or financial assistance in…

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

    Fact Sheet

    This state report explains how the ACA expands coverage in Maine, 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 Maine are eligible for Medicaid or financial assistance in…

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

    Fact Sheet

    This state report explains how the ACA expands coverage in Massachusetts, 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 Massachusetts are eligible for Medicaid or financial assistance in…

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

    Fact Sheet

    This state report explains how the ACA expands coverage in Michigan, 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 Michigan are eligible for Medicaid or financial assistance in…

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

    Fact Sheet

    This state report explains how the ACA expands coverage in Minnesota, 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 Minnesota are eligible for Medicaid or financial assistance in…

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

    Fact Sheet

    This state report explains how the ACA expands coverage in Mississippi, 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 Mississippi are eligible for Medicaid or financial assistance in…

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

    Fact Sheet

    This state report explains how the ACA expands coverage in Montana, 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 Montana are eligible for Medicaid or financial assistance in…

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

    Fact Sheet

    This state report explains how the ACA expands coverage in Nevada, 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 Nevada are eligible for Medicaid or financial assistance in…