Florida loses nearly half a million insured as ACA subsidies end
Federal enrollment data show that 443,000 fewer Floridians had health coverage in 2026. The drop follows the expiration of enhanced ACA subsidies in December 2025. In 2025, 4.3 million residents were enrolled in ACA plans. Most Senate Democrats voted to extend the subsidies while most Republicans opposed them. Premiums are expected to increase as open enrollment starts in November. Florida continues to decline Medicaid expansion, limiting additional coverage options.
Key facts
- The enrollment decline of 443,000 was recorded for the year 2026.
- Enhanced subsidies that lifted ACA premiums were discontinued at the end of 2025.
- Senate voting patterns show Democratic majority support for subsidy extension.
- Open enrollment period is set to begin in November, prompting premium increases.
- Florida has not adopted the Medicaid expansion option under the ACA.
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Why it matters
The reduction raises the uninsured share and may increase overall health expenses.
What changed
First published from NPR