KFF April 2, 2025
ACA Marketplace enrollment has reached a record-high for a fourth year in a row, totaling 24.3 million people in 2025. Much of this growth can be attributed to the enhanced subsidies first made available by the American Rescue Plan Act (ARPA) in 2021 and later extended through the end of 2025 by the Inflation Reduction Act (IRA). Since 2020, enrollment in the Marketplaces has more than doubled, growing by 12.9M (a 113% increase) from 11.4M to 24.3M.
Where Have ACA Marketplaces Grown the Most?
Almost all states have seen increases in enrollment, but some have seen more growth than others. Enrollment has more than tripled in Texas (255% growth), Mississippi (242%), West Virginia (234%), Louisiana (234%), Georgia (227%), and Tennessee...
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