The 2025 Affordable Care Act (ACA) open-enrollment season set the fourth straight annual record, with 24.3 million Americans selecting marketplace coverage—up 13 percent from 2024 and nearly double the total in 2020 . Behind the headline figure lies a potent mix of economic pressures, enhanced subsidies and state-level dynamics that are reshaping the U.S. health-insurance landscape. At-a-Glance: Key 2025 Enrollment Metrics Indicator 2024 Season 2025 Season % Change Total marketplace plan selections 21.5 m 24.3 m +13% New enrollees 2.2 m 3.2 m +45% Returning enrollees automatically re-enrolled 14.3 m 20.4 m +43% Enrollees with access to ≥1 plan ≤ $10 premium 83% 80% — Cumulative growth since 2020 11.4 m → 24.3 m 113% Why Demand Keeps Climbing Extended Premium Subsidies The American Rescue Plan Act’s richer tax credits, prolonged through 2025 by the Inflation Reduction Act, continue to cap benchmark-plan costs at 8.5 percent of income (or less) . In many regions that tra...
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