Cover image for 5 million have dropped ACA insurance after Trump and the GOP let prices skyrocket
Health 26 Jun 2026

5 million have dropped ACA insurance after Trump and the GOP let prices skyrocket

The number of people who signed up for a health plan and then didn't pay their premium fell much more sharply than it has in years past. Trump officials blame fraud. Health policy experts blame costs.

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The number of people who signed up for a health plan. And then didn't pay their premium fell much more sharply than it has in years past. Health policy experts blame costs. Far more people than previously known have dropped Affordable Care Act health insurance for 2026, according to data released Friday. Five million fewer people are currently enrolled in ACA marketplace plans compared to the record high reached last year. More than 1 million fewer people picked a plan for 2026. And then 4 million more either disenrolled or failed to pay their premiums. And therefore dropped coverage.

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