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Change in February effectuated enrollment, by state, 2025-2026

How Has ACA Marketplace Enrollment Changed Across States in 2026?

ACA Marketplace enrollment fell this year in every state except New Mexico—the only state to fully replace the enhanced premium tax credits that expired last year with a state-funded subsidy, according to a new KFF analysis of effectuated enrollment data. The Marketplace enrollment decline—the first in seven years—follows several years of rapid enrollment growth and coincides with the end of the enhanced federal subsidies.

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Explore the latest national and state-specific data and policies on women’s health, including health status, insurance coverage, use of preventive services, and more.

Most "dual-eligible" individuals (8.9 million in 2024) are eligible for Medicaid benefits that are not otherwise covered by Medicare, including long-term care.

Use this tool to build a custom report compiling health-related data for a single state or multiple states.

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  • Health Coverage and Care in the South: A Chartbook

    Report

    The South has faced longstanding disparities in health and health care, although significant variation exists between southern states. As a group, compared to those in other regions, Southerners are more likely to be uninsured, less likely to have access to needed health services, and more likely to experience a number of chronic health conditions. This chartbook provides key data on the demographic and economic characteristics of the southern population as well as their health status,…

  • CHIP Enrollment Snapshot: December 2013

    Issue Brief

    This report focuses on changes in monthly CHIP enrollment between December 2012 and December 2013. This is a long standing report that collects monthly CHIP enrollment data for December (and June, not reported here) going back to 2000. While the data provided in this report are not directly comparable to the data released by CMS, they provide context for the preliminary data released by CMS, illustrating historical trends in CHIP enrollment.

  • Medicaid Enrollment Snapshot: December 2013

    Issue Brief

    This report focuses on changes in monthly Medicaid enrollment between December 2012 and December 2013. This is a long standing report series that collects monthly Medicaid enrollment data for December (and June, not reported here) going back to 2000. While the most recent data included in this report predate preliminary data released by CMS that show the early effects of full implementation of the ACA, this report series is an important source of historical trend…

  • KFF/The New York Times Upshot Poll Examines Public Opinion in Four Southern States on ACA and Midterm Elections

    News Release

    With the end of the initial open enrollment period for new insurance options under the Affordable Care Act (ACA), The New York Times Upshot/Kaiser Family Foundation Polls In Four Southern States examines public opinion on the health care law and the upcoming midterm elections in Arkansas, Kentucky, Louisiana, and North Carolina. These four southern states have each taken different approaches to ACA implementation, and they all feature close midterm races for Senate and/or Governor in which…

  • New York Times Upshot/Kaiser Family Foundation Polls in Four Southern States

    Poll Finding

    With the end of the initial open enrollment period for new insurance options under the Affordable Care Act (ACA), The New York Times Upshot/Kaiser Family Foundation Polls In Four Southern States examines public opinion on the health care law and the upcoming midterm election in Arkansas, Kentucky, Louisiana, and North Carolina. These four southern states have each taken different approaches to ACA implementation, and they all feature close midterm races for Senate and/or Governor in which the…

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

    Fact Sheet

    This report explains how the ACA expands coverage nationally, 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 are eligible for Medicaid or financial assistance in the Marketplace. For states…

  • State Fiscal Conditions and Medicaid: 2014 Update

    Issue Brief

    This issue brief provides an overview of Medicaid financing, Medicaid’s role in state budgets, the relationship between Medicaid and the economy and how the ACA and the Medicaid expansion could affect state budgets.