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New federal figures show that about 3 million fewer people had Affordable Care Act health insurance plans in February compared with the same time last year.

Enrollment in Affordable Care Act insurance fell much more sharply in the first months of 2026 than it has in years past. Trump officials blame fraud. Health policy experts blame costs.

Les Masterson is a deputy editor and insurance analyst at Forbes Advisor. He has been a journalist, reporter, editor and content creator for more than 25 years. He has covered insurance for a decade, ...