Overview
- Federal data show about 1.2 million fewer marketplace sign-ups for 2026 than for 2025.
- Arizona recorded 65,881 fewer enrollments year over year, according to a Protect Our Care analysis.
- Utah enrollment fell by roughly 35,000, an 8% decline, with some residents reporting premiums tripled after enhanced credits ended.
- Consumer advocates report people canceling coverage or downgrading to cheaper, higher-deductible plans as monthly costs rise.
- The House approved a three-year extension of enhanced premium tax credits on Jan. 8, but the Senate has not taken it up as experts warn of rising uninsurance and uncompensated care.