The Trump administration says declining Obamacare enrollment this year reflects a crackdown on fraud. But state-run insurance exchanges and health policy analysts say rising premiums after the expiration of enhanced federal subsidies are pushing many Americans out of coverage instead, as Politico reports.
Federal data show Affordable Care Act enrollment fell by 1.2 million people as of March, dropping to 24.3 million nationwide. Trump administration officials, including Health and Human Services Secretary Robert F. Kennedy Jr., have argued the decline is largely tied to efforts to remove people who were improperly enrolled in multiple programs or fraudulently signed up through brokers.