2.6 million Americans dropped ACA coverage as subsidies expired — fraud or price shock?

2.6 million Americans dropped Affordable Care Act (ACA) coverage in 2026 due to expired subsidies, causing premiums to more than double. Enrollment fell 12% year-over-year, with states using HealthCare.gov experiencing sharper declines than state-run exchanges. The Trump administration attributed some losses to fraud, while analysts highlight affordability as the primary driver.