Center on Budget and Policy Priorities March 3, 2025
More people are getting their health insurance through the Affordable Care Act (ACA) marketplaces than ever before. Enrollment more than doubled over the past four years, from 12 million people in 2021 to 24.1 million people in 2025. The marketplace serves people across a wide range of incomes, and the gains in coverage have been broad across all racial and ethnic groups. The greatest gains have been among Black people and Latino people, for whom combined marketplace plan selections roughly tripled between 2020 and 2024, and among people with incomes between 100 and 200 percent of the federal poverty level, whose enrollment more than doubled during the same period. Small business and self-employed workers also account for a large and...
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