More Than 3 in 4 ACA Marketplace Enrollees Live in States Won by President Trump in 2024

[Nevilledog]

https://www.kff.org/quick-take/more-than-3-in-4-aca-marketplace-enrollees-live-in-states-won-by-president-trump-in-2024/


Enhanced advance premium tax credits, first signed into law as part of the American Rescue Plan in 2021, increased the amount that enrollees in the Affordable Care Act (ACA) marketplaces receive in federal subsidies to pay for monthly health insurance premiums. These enhanced tax credits benefit low- and middle-income individuals who do not receive health insurance through an employer or other government program, including many small business owners and employees, farmers and ranchers, and people who are self-employed.

States won by Trump in 2024 have received more ACA premium tax credits, and had more enrollment growth, since the subsidies were expanded. This year, 18.7 million (77%) of the total 24.3 million ACA Marketplace enrollees live in states President Trump won in the 2024 election.

Since the enhanced premium tax credits were introduced, the number of people who receive health coverage through the ACA Marketplaces has more than doubled, and more than half (55%) of the national growth comes from Texas, Florida, Georgia, and North Carolina. In six states (Texas, Louisiana, Mississippi, Tennessee, Georgia and West Virginia), enrollment has more than tripled in five years.

Nationwide, 93% of ACA Marketplace enrollees received premium tax credits in 2025, but enrollees living in states won by President Trump in 2024 were even more likely to have subsidized coverage. In Florida, West Virginia, and Alabama, 98% of people enrolled in Marketplace coverage received federal financial premium assistance, and 99% do in Mississippi.

*snip*

[vapor2]

1. RUH ROH

Seriously, these morons are beyond sadistic to remove 17 million from healthcare. Some days I am just depressed and other days angry at the cruelty from this regime

[Arazi]

2. Does anyone know when the new rates are released?

I’m going to guess that Republicans want this talking point out of the news and will settle the shut down before the public understands how badly they are about to get screwed.

[SheltieLover]

3. Of course. Blue states have jobs, many with health insurance!

[dalton99a]

4. Yep. Many Trump voters and providers call it "Marketplace" - never Obamacare or ACA

[kerouac2]

5. If they never had aca they wouldn't be losing it

So it's clearly Obama and bidens fault



It's not like Republicans have campaigned on repealing aca...

[republianmushroom]

6. Republican politicians supporting red state citizens. chuckle, chuckle

[Bernardo de La Paz]

7. Democrats in their messaging should cite this figure and say "We are saving Affordable Care for the Red states". . . .nt

[MaineBlueBear]

8. I don't care where you live

This will hurt us all

[Nevilledog]

9. Of course it will, but Trump voters think they're immune. They're about to find out differently.