Texas, Florida and Georgia accounted for most ACA growth

New enrollments in Florida, Texas, Georgia and North Carolina drove much of the growth in new ACA exchange plan sign-ups for 2023, The New York Times reported Jan. 25. 

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CMS reported sign-up data for the 2023 ACA open enrollment period Jan. 25. Of the record 16.3 million people enrolled in ACA marketplace coverage during the open enrollment period from Nov. 1, 2022, to Jan. 15, 2023, 3.6 million (22 percent) are new to the marketplace in 2023

All four states with large increases have not expanded Medicaid and have large low-income populations, suggesting increased subsidies provided by the Inflation Reduction Act drove the uptick in enrollment, The New York Times reported. 

According to CMS data for 2023, and Kaiser Family Foundation data showing 2022 enrollment numbers, Florida and Texas both added over 500,000 new ACA members, and over 100,000 new members enrolled in Georgia and North Carolina. 

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