The number of Texans who paid for the first month of their Affordable Care Act coverage dropped 4% this year, the state’s first year-over-year decline since 2019, according to a first nationwide glimpse at how coverage through the federal marketplace is shaking out this year.
Texas was one of a handful of states to increase its ACA enrollment at the beginning of the year, a surprising data point in the wake of the expiration of tax credits that had subsidized premium costs for most enrollees.