Florida lost 450,000 ACA enrollees in 2026 as premiums rose an average of 37% nationally, new data shows

In December, Congress allowed pandemic-era A-C-A subsidies to expire, pushing premiums up an average of thirty-seven percent—about one thousand dollars per person annually. The Conversation reports that Florida bore the brunt: the state lost four hundred fifty thousand enrollees, the largest drop in absolute numbers nationwide, though Ohio and Oklahoma saw sharper proportional declines. Florida has more A-C-A users than any other state—over twenty percent of residents under sixty-five, compared to seven percent nationally. The outcome was less dire than predicted. Only one in ten people who left the program reported becoming uninsured; many switched to lower-cost bronze or catastrophic coverage instead. Yet as housing, fuel, and grocery costs climb, more may eventually abandon even that safety net, straining hospitals and clinics in ways that could erode healthcare access for everyone.

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