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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.

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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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  • ¿Qué tipos de planes médicos venden los sitios web de inscripción privada?

    FAQs

    Los sitios web de inscripción privada administrados por compañías de seguros generalmente solo muestran los planes que ofrece esa aseguradora. Los sitios web administrados por corredores de seguros deben mostrar todos los planes ofrecidos por varias aseguradoras. Si tiene preguntas o inquietudes sobre la información en estos sitios, comuníquese con el centro de atención telefónica del mercado, con cuidadodesalud.gov o con el mercado de su estado. Muchos sitios web de inscripción privada también venden planes…

  • A Guide to the Role of Health in the Midterms

    From Drew Altman

    In a new column, President and CEO Dr. Drew Altman says health care costs are playing a significant role in the midterms as one dimension of voters’ concerns about cost of living, and explains why pollsters, analysts, and candidates should look at it that way, and not as a separate voting issue. He writes, “The ‘issue’ that matters most in this election is cost of living and the cost of health care is a central…

  • Individual Market Enrollment Continues to Fall Through Mid-2026

    Issue Brief

    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.

  • What Could Medicaid Work Requirements Mean for People with Disabilities Waiting for Medicare Coverage?

    Issue Brief

    This analysis finds that Medicaid through the expansion pathway covered over 1 in 4 SSDI applicants and beneficiaries waiting to become eligible for Medicare (120,300 people out of a total 415,300 in 2023). In future years, people applying for and new to SSDI may experience difficulties maintaining Medicaid prior to becoming eligible for Medicare because of the new work requirements.

  • Which States Will Be Affected by Key Medicaid Provisions in the 2025 Reconciliation Law?

    Policy Watch

    The 2025 reconciliation law makes sweeping changes to Medicaid that will affect every state through key eligibility and financing changes, including new work requirements, immigrant eligibility restrictions, and changes to provider taxes and state directed payments. This issue brief explains which states will be affected by each of these key provisions.

  • Status of State Medicaid Expansion Decisions

    Interactive

    This page displays an interactive map of the current status of state decisions on the Affordable Care Act's Medicaid expansion. Additional Medicaid expansion resources are listed (with links) below the map.

  • What We Know about Trump’s $500 ACA Checks and the User Fees Funding Them

    Issue Brief

    This analysis examines the $500 checks that the Trump administration is sending to some Affordable Care Act Marketplace enrollees and the user fees that are paying for them. The checks are going to about 1 million enrollees in the 30 states that rely on the federal HealthCare.gov Marketplace who are not receiving any tax credits this year – a small share of the 19.2 million people who were enrolled nationally as of February.