For coverage starting in January 2024, enrollment in the Affordable Care Act Marketplace reached a new record of 21 million enrollees. Part of this Marketplace enrollment growth stems from the April 2023 expiration of a COVID-era policy that maintained Medicaid enrollee eligibility, leaving millions of previous Medicaid enrollees looking for publicly subsidized Marketplace coverage. Other reasons for continued Marketplace enrollment growth included increased subsidies reported on previously, as well as increased funding for navigator programs to help consumers shop for plans.
Despite the Medicaid disenrollment beginning in April 2023, Medicaid coverage has increased since the pandemic began (88 million as of September 2023 compared to 71 million in February 2020). Coverage in publicly sponsored (Medicaid) or subsidized (Marketplace) plans combined has also reached a new record of 105 million individuals. One in three Americans are covered by Medicaid or ACA-related coverage expansions in the 10th year after these health reforms were implemented.