ACA exchange enrollment might fall by more than 2.6 million

By Allison Bell

News March 31, 2026 at 09:16 AM

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What You Need To Know

ACA Signups thinks enrollment was 20.3 million in mid-February.
4% of returning enrollees told KFF they had not made their first payment.
17% told KFF they were not sure they could keep paying premiums all year.
The relevance for ICHRA plans is unclear.

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