States Where Obamacare Enrollment Remains Strongest

As someone who works every day to help families and business owners navigate their insurance options, I’ve seen firsthand how changes in the Affordable Care Act (ACA) landscape can impact affordability and access. Recently, ACA enrollment fell by 1.2 million in 2026—a 5% drop—largely driven by the expiration of federal tax credits and premium hikes reaching up to 75%. The effects were felt across 41 states, with North Carolina experiencing a striking 22% decrease, though a few states did see increases. Rising costs create real challenges for those seeking reliable health coverage. My focus is always on helping clients understand these shifting trends, so they can make informed decisions to protect their health and financial future.