ACA Marketplace Enrollment Falls as Enhanced Tax Credits Expire

ACA Marketplace enrollment hit a record high in 2025, but the expiration of enhanced premium tax credits has raised consumer costs and contributed to declining enrollment in 2026, according to this midterm election update. The piece also notes that recent law and regulatory changes have tightened ACA eligibility and enrollment requirements. Public opinion of the ACA remains generally favorable overall, though views are sharply divided along partisan lines. The update frames these dynamics as a backdrop heading into the midterm elections.

CHIP · Finance