Five Million Americans Drop ACA Health Coverage in 2026 as Enhanced Subsidies Expire
New federal data released in late June 2026 confirms that roughly five million fewer people are enrolled in Affordable Care Act marketplace plans compared with last year's record high, after enhanced premium tax credits expired at the end of 2025. Average premium payments rose 58% while enrollment fell from a peak of 24.2 million to 19.2 million, raising fears of market instability and renewed political conflict ahead of the midterm elections.