States that operate their own Affordable Care Act exchanges are reporting steep increases in the number of people who dropped plans in the first months of 2026, when the first consumers were confronted with premium spikes from expired federal tax subsidies.
Disenrollments during the first three months of the year were up 24% compared to March 2025, according to new data from the State Marketplace Network that was compiled from 17 state-based health insurance marketplaces nationwide.
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