ACA Enrollment Has Doubled Since 2020, Driven by Growth in Red States
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Apr 04, 2025
During the 2025 open enrollment period, 24.3 million people enrolled in Affordable Care Act marketplace plans, setting a record for the fourth consecutive year. ACA marketplace signups have now more than doubled since 2020, with most of the growth occurring in states won by President Donald Trump in the 2024 election, according to a new KFF analysis.
About 17.1 million people enrolled through HealthCare.gov between Nov. 1, 2024, and Jan. 15, 2025, in the 31 states that use that platform. Another 7.2 million enrolled across 19 states and Washington, D.C., which use their own marketplaces. Georgia transitioned to its own state-based marketplace this year.
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