Healthcare DIVE April 2, 2025
Emily Olsen

Sign-ups for coverage on the Affordable Care Act exchanges have more than doubled since 2020. Enrollment was particularly concentrated in states won by President Donald Trump in last year’s election.

Dive Brief:

  • Enrollment in the Affordable Care Act marketplaces reached a new high in 2025, boosted by growth in states won by President Donald Trump in last year’s election, according to a research brief by KFF.
  • Sign-ups in the insurance marketplaces have more than doubled over the past five years, increasing from from 11.4 million in 2020 to 24.3 million in 2025, the health policy research firm said Wednesday.
  • Much of the growth is linked to more generous federal financial assistance for the health plans first made...

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Topics: ACA (Affordable Care Act), Congress / White House, Govt Agencies, Insurance, Patient / Consumer, States, Survey / Study, Trends
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