07/16/2026

Ohio Sees Sharp Decline in ACA Marketplace Enrollment

Ohio experienced one of the nation's steepest declines in Affordable Care Act (ACA) Marketplace enrollment this year, with enrollment falling by more than 160,000 people - a 32% decrease from February 2025 to February 2026, according to recently released federal data. Nationally, Marketplace enrollment declined about 13% over the same period.

Health policy experts attribute the decline largely to the expiration of enhanced federal premium subsidies that had lowered monthly insurance costs for many consumers, though federal officials have also cited efforts to reduce improper enrollments. The reduction in Marketplace coverage could have implications for providers as more Ohioans become uninsured or seek coverage through other programs. Read the original Columbus Dispatch article.