5M people may drop coverage from ACA marketplaces: Analysis

Roughly 5 million people could lose coverage from the Affordable Care Act Marketplace this year after the enhanced premium tax credits expired in 2025, according to the latest analysis from KFF.

Last year marked four consecutive years of record growth in enrollment from the ACA Marketplace, due in large part to the enhanced premium tax credits making monthly costs more affordable for families, with plans in many cases offering $0 premiums.

By the end of 2025, however, a deal to extend credits failed to come together, and Congress appears to have largely moved on from talks of reviving them.

Enrollment fell for the first time in four years in 2026, with about 1.2 million fewer people signing up for coverage. This number is expected to grow throughout the year as households struggle to keep up with higher premiums.

KFF’s latest analysis, released Tuesday, estimates that around 4.8 million to 5.8 million people could lose coverage, with a........

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