New Data Shows Drop by State in ACA Coverage

States across the country saw steep drops in the number of people covered by the Affordable Care Act over the past year, with Ohio and Oklahoma each losing nearly one-third of enrollees, according to new federal data analyzed by the AP that provides the first complete 50-state breakdown of sharp enrollment declines following the January expiration of enhanced subsidies. The data, posted in late June by the Trump administration, reveals how changes in each state's insured population led to around 2.6 million fewer Americans having Obamacare plans in February compared with the same time last year.

The data also captures not only how many people signed up for or were automatically reenrolled in plans in 2026, but how many paid their first monthly premiums to keep coverage, said Cynthia Cox, a vice president and director of the ACA program at the healthcare research nonprofit KFF, who reviewed the dataset. She said it accounts for people who were retroactively removed from coverage after a nonpayment grace period ended. "This is the first time we've seen state-level data that shows how much ACA marketplace enrollment truly fell," Cox said. "It's in line with our expectations, but it does show a very steep drop in the number of people with ACA coverage." AP's report can be found here.