health

9% of ACA health-care plan enrollees go uninsured after enhanced subsidies expire, poll finds

Many Americans face financial pressures after Affordable Care Act enhanced premium subsidies expired at the end of 2025.

9% of ACA health-care plan enrollees go uninsured after enhanced subsidies expire, poll finds

TL;DR

  • 9% of individuals enrolled in ACA marketplace health plans last year are now uninsured following the lapse of enhanced subsidies.
  • Many more enrollees have downgraded their health insurance or are experiencing financial stress due to increased healthcare costs.
  • Premiums for ACA enrollees are projected to more than double in 2026 due to the expiration of enhanced premium tax credits.
  • Over half of returning enrollees blame congressional Republicans and President Trump for the higher healthcare costs.
  • Households are cutting spending on basic necessities, seeking additional work, delaying bills, or taking on debt to afford health insurance.
  • Total enrollment in ACA marketplace health plans is expected to fall significantly by 2028.