Particle.news
Download on the App Store

ACA Subsidy Expiration Drives Enrollment Drop and Plan Downgrades as Costs Spike

Congress has yet to restore the enhanced tax credits that kept marketplace premiums lower.

Overview

  • CMS reports 22.8 million marketplace enrollments for 2026, roughly 1.2 million fewer than last year after the enhanced premium tax credits expired on Dec. 31.
  • Consumers are buying cheaper plans with far higher deductibles or canceling coverage, with Maryland recording more than 16,000 tier changes and a sizable shift from gold to bronze plans.
  • State data show notable declines, including about 120,000 fewer Ohio enrollees and roughly 51,000 fewer in Missouri, while several marketplaces report elevated cancellations tied to affordability.
  • The Congressional Budget Office projects about 4 million people could become uninsured over time as costs outpace household budgets without the lapsed federal subsidies.
  • Safety-net providers warn of rising uncompensated care and strained resources, and navigators report heavier demand even as federal funding cuts limit their capacity to assist consumers.