Relevance: primary · Type: event
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The number of people enrolled in a health insurance plan bought on the ACA marketplace declined by roughly 3 million people to 19.2 million in February 2026 from 22.1 million at the end of 2025.
Relevance: primary · Type: event
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The decline represents a roughly 13% drop in ACA marketplace enrollment.
Relevance: supporting · Type: background
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This was the first drop in ACA enrollment since the first Trump administration.
Relevance: supporting · Type: background
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This was the largest decline in ACA enrollment since the ACA marketplaces were established in 2014.
Relevance: primary · Type: event
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Enhanced ACA premium subsidies expired at the end of 2025.
Relevance: primary · Type: action
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The Department of Health and Human Services stated that efforts to crack down on fraud were a major driver of the recent decline in enrollment.
Relevance: supporting · Type: action
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The Department of Health and Human Services stated that its efforts partially unwound a large increase in fraudulent enrollment that occurred during the Biden administration.
Relevance: supporting · Type: action
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The Centers for Medicare & Medicaid Services canceled coverage for 250,000 people enrolled in an ACA plan without their consent.
Relevance: supporting · Type: background
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Jonathan Oberlander is a professor of health politics and policy at the University of North Carolina at Chapel Hill.
Jonathan Oberlander, professor of health politics and policy at the University of North Carolina at Chapel Hill
Relevance: primary · Type: quote
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"Instead, the fraud argument provides political cover for the administration and for Republicans in a midterm election year, at a time when affordability is 'Americans' preeminent concern,'" said Jonathan Oberlander, a professor of health politics and policy at the University of North Carolina at Chapel Hill.
Relevance: supporting · Type: action
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Democrats pushed to extend enhanced ACA premium subsidies beyond 2025, but the GOP allowed them to expire.
Spokesperson for the Centers for Medicare & Medicaid Services, Spokesperson for the Centers for Medicare & Medicaid Services
Relevance: primary · Type: quote
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"Republicans, under President Trump are working to deliver health care affordability across the board," a spokesperson for the Centers for Medicare & Medicaid Services said in an e-mailed statement.
Spokesperson for the Centers for Medicare & Medicaid Services, Spokesperson for the Centers for Medicare & Medicaid Services
Relevance: primary · Type: quote
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"Further, CMS will continue to root out waste, fraud, and abuse wherever it is found to protect Americans' tax dollars," the spokesperson said.
Relevance: supporting · Type: event
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The Department of Health and Human Services estimates that improper, phantom, and fraudulent enrollment peaked at 5.6 million people in 2025.
Relevance: supporting · Type: action
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The Department of Health and Human Services stated that program integrity efforts implemented by the Trump administration, such as eliminating certain special enrollment periods and canceling policies it deemed fraudulent, cut improper, phantom, and fraudulent enrollment by millions of people.
Relevance: primary · Type: quote
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"The Trump Administration has utilized numerous tools mobilizing a full-scale effort to ensure federal subsidies are going only to those for whom they are intended," according to the report issued June 26 by the Office of the Assistant Secretary for Planning and Evaluation, within HHS.
Relevance: supporting · Type: action
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The Government Accountability Office outlined the risk of fraud tied to ACA subsidies in a December report requested by congressional Republicans.
Relevance: supporting · Type: event
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The Department of Health and Human Services estimates that more than 1 million current ACA enrollees do not have a Social Security number.
Relevance: supporting · Type: background
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Michael Gusmano is a professor of health policy at Lehigh University.
Michael Gusmano, professor of health policy at Lehigh University
Relevance: supporting · Type: background
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Many lawfully present immigrants in the U.S. with legitimate visas who are allowed to receive ACA coverage do not necessarily have a Social Security number, according to Michael Gusmano.
Michael Gusmano, professor of health policy at Lehigh University
Relevance: supporting · Type: background
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Immigrants in the country illegally had already been barred from enrolling in an ACA plan, according to Michael Gusmano.
Relevance: supporting · Type: background
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Matthew Fiedler is a senior fellow at The Brookings Institution.
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