Recent Marketplace and Medicaid changes could impact enrollment across the U.S. ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏  ͏ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­ ­  

View in browser The independent source for health policy research, polling, and news. The independent source for health policy research, polling, and news. NEW & NOTEWORTHY Mapping ACA Marketplace and Medicaid Enrollment by Congressional District  With an estimated 14 million people expected to become uninsured by 2034 due to major changes to Medicaid and the Affordable Care Act (ACA) Marketplaces in the 2025 reconciliation law plus the expiration of the ACA’s enhanced premium tax credits, KFF’s new interactive maps provide a way to view ACA Marketplace and Medicaid enrollment by congressional district across the U.S.   ACA Marketplace Enrollment by Congressional District and State The ACA Marketplace enrollment map shows that more than half of Marketplace enrollees (55%) live in Republican districts and more than 100,000 people are enrolled in an ACA plan across each of 16 Republican districts and 12 Democratic districts. Southern congressional districts generally have a larger share of their population enrolled in the Marketplace. In seven of Florida’s congressional districts, more than 20% of people are enrolled in an ACA plan. At the state level, Florida, (16%), Georgia (11%), Texas (10%), and Utah (10%) have the highest share of residents enrolled in the Marketplace. In contrast, less than 2% of residents in New York (1%), Hawaii (2%), Minnesota (2%), and the District of Columbia (2%) have Marketplace plans.   Marketplace enrollment declined in most congressional districts between 2025 and 2026, with two-thirds of the decline (67%) occurring in Republican-held congressional districts. Congressional districts in Arizona, Michigan, Ohio, and Oklahoma saw among the steepest drops, each losing more than a quarter of their previous enrollment. Additional Marketplace enrollment losses are expected in the coming years.   Medicaid Enrollment by Congressional District and Eligibility Group The Medicaid enrollment map shows that in half of Republican congressional districts, at least 20% of residents are enrolled in Medicaid. In half of Democratic districts, at least 25% are enrolled. Among Republican districts, those with the highest number of Medicaid enrollees are mostly in California and Louisiana. Among Democratic districts, they are all in California and New York. Republican districts have a higher share of Medicaid enrollees who are children and people eligible because of a disability, while Democratic districts have a higher share of ACA expansion enrollees and people ages 65 and older. However, this varies by specific district and depends on whether a state has adopted the Medicaid expansion; there are both Democratic and Republican districts with high shares of ACA expansion enrollees.   While the future coverage effects of the reconciliation law’s Medicaid changes will vary across states, the coverage losses could be greater for districts with higher concentrations of expansion enrollees, who are subject to new work requirements. Contact: Tammie Smith | 202.654.1410 | TammieS@kff.org When citing our work, please note our legal name is KFF. We should be cited as KFF, a nonprofit health policy research, polling, and news organization. Our name is no longer the Kaiser Family Foundation.  Did someone forward this to you? Sign up for emails from KFF. This email was sent to albarkahslamet.ssss@blogger.com. Update your email preferences to choose the types of emails you receive. Or, permanently unsubscribe from all future emails. Need assistance? Email subscriptions@kff.org; do not reply to this email. The independent source for health policy research, polling, and news. KFF, 185 Berry Street, Suite 2000, San Francisco, CA 94107