ACA enrollment set new record in 2025

About 24.2 million people signed up for Affordable Care Act plans during the open enrollment period for 2025 — an all-time high, blowing past last year’s previous record of 21.3 million (Source: “ACA enrollment breaks records again in 2025,” Health Care Dive, Jan. 21).

The enrollment figures were announced by the Biden administration, three days before President Donald Trump was sworn into office.
 
Enrollment for 2025 got off to a slow start at the beginning of the open sign-up period in the fall. Some Americans who put off insurance elections said they were concerned how the Trump administration might affect their coverage. However, the pace of sign-ups picked up before enrollment concluded last month — and most people with existing ACA coverage were automatically reenrolled in plans, according to regulators.
 
Experts are split on whether Trump will preserve more generous tax cuts that are credited for swelling ACA enrollment by millions of people since the coronavirus pandemic. Absent congressional action, the subsidies are set to expire by the end of this year.

The future of the subsidies isn’t expected to be resolved until the back half of the year, creating uncertainty for insurers offering plans in the exchanges.