Marketplace health programs are expected to enroll ~5M fewer people in 2026 than 2025 as certain premium-offsetting subsidies expire, contributing to reduced participation.
Changes to a government safety-net health program could add 10M uninsured individuals over a decade, highlighting the scale of policy shifts ahead.
Federal officials have sought to expand low-premium catastrophic health plans and lower drug prices for uninsured Americans, offering a policy response amid enrollment shifts.
Insurance-status tracking can vary because government programs use different timing and question wording, which can produce different figures and context for coverage discussions.
Americans under 65 often rely on a patchwork of public and private insurance programs, while most older adults use a federal health program.
