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Marketplace All-in-One

Steep ACA enrollment declines

Marketplace All-in-One

Marketplace

Business, News

4.51.4K Ratings

🗓️ 30 June 2026

⏱️ 8 minutes

🧾️ Download transcript

Summary

About 3 million fewer people had Affordable Care Act insurance plans in February compared to last year. Much of the drop is likely due to the end of pandemic-era enhanced subsidies, which resulted in higher premiums. And ACA premiums are only likely to increase next year. Plus, starting tomorrow, Medicare will begin covering GLP-1 drugs for weight loss. And, as we prepare to mark the 250th anniversary of the United States, we'll look back at the economic moments that defined the first 50 years of our nation.


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Transcript

Click on a timestamp to play from that location

0:00.0

Programming supported by Trinity Exteriors, a local team working to help neighbors across Minnesota

0:05.2

maintain safe, comfortable homes, offering roofing, siding, and window renovations. Information and more at

0:11.3

trinityexteriors.com.

0:16.2

Millions more people are going without health insurance, and we begin to look back at 250 years of the American economy.

0:24.7

From Marketplace in Washington, I'm Kimberly Adams. About 3 million fewer people have affordable

0:30.2

Care Act insurance now compared to last year. That's according to data from the Department of

0:35.1

Health and Human Services that goes through February.

0:43.0

Initial sign-up data from earlier in the year showed a drop of a little over a million people. But these latest numbers indicate that many who enrolled in ACA plans this year likely didn't pay their premiums and have since lost coverage.

0:51.9

Marketplaces Samantha Fields has more.

0:54.1

The Trump administration is attributing most of the drop in ACA enrollment this year to a reduction in fraud.

0:59.6

But most experts say there's no evidence of that, including Sabrina Corlett at Georgetown's Center on Health Insurance Reforms.

1:07.3

It's a simple economic fact that when you raise the price of a good or service, fewer people will enroll.

1:15.0

ACA premiums went way up for millions of people this year after Congress let the enhanced pandemic-era subsidies expire.

1:22.5

And Lindsay Allen at Northwestern University says because of that, there are not as many people signing up,

1:28.2

and then there are people who are re-enrolled automatically

1:30.6

but aren't able to pay the premium, so they'll be disenrolled.

1:33.8

And it's likely people will continue dropping off as the year goes on,

1:37.2

especially healthier people.

1:39.4

Sabrina Corlett at Georgetown says there's already evidence

1:42.5

that this steep drop in enrollment will

1:44.6

lead to further increases in health insurance premiums next year.

1:48.3

It's early days yet, but what we can say is that what the initial rates that are coming in

...

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