Individual Market Enrollment Continues to Fall Through Mid-2026 Authors: Matt McGough, Justin Lo, and Cynthia Cox Published: Oct 14, 2026

https://www.kff.org/affordable-care-act/individual-market-enrollment-continues-to-fall-through-mid-2026/ Enrollment in the individual health insurance market fell by 18%—over 4.6 million people—from 25.2 million in June 2025 to 20.5 million in June 2026. Falling individual market enrollment suggests further decline in ACA Marketplace enrollment this year, since Marketplace enrollees represent the vast majority of individual market coverage.