How many people use the Affordable Care Act in 2024?

Asked by: Roman Morissette MD  |  Last update: April 13, 2025
Score: 5/5 (67 votes)

During last year's record-setting Open Enrollment Period, 21.4 million people selected coverage through the Marketplaces, driving the uninsured rate to a historic low, where it remains today. Over 20.4 million consumers had active 2024 coverage and selected a plan for 2025 coverage or were automatically re-enrolled.

How many people enrolled in ACA in 2024?

Marketplace enrollment climbed to a new record high in 2025, with nearly 24 million people signing up for plans during the current enrollment period. Marketplace enrollment was 21.4 million in 2024.

How many people use the Affordable Care Act?

Of the 49.4 million people ever covered through the ACA Marketplace, 47.6 million were alive and living in the U.S. as of 2023, compared to a U.S. Census Bureau es�mate of 334 million U.S. residents.

Will ACA end in 2025?

The enhanced tax credits remain available through 2025 but are set to expire in 2026 without Congressional action. Marketplace Open Enrollment on HealthCare.gov ran through January 15. Consumers who enrolled by midnight local time on January 15 got coverage that will start February 1, 2025.

What is the ACA employer mandate for 2024?

Employer mandate overview

Employers must offer health insurance that is affordable and provides minimum value to 95% of their full-time employees and their children up to the end of the month in which they turn age 26, or be subject to penalties. This is known as the employer mandate.

Obamacare Explained: Understanding the Affordable Care Act

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What happens if I underestimate my income for Obamacare in 2024?

For the 2024 tax year, if you underestimated your income and received a larger tax credit than you were eligible for, you must repay the difference between the amount of premium tax credit you received and the amount you were eligible for.

Why are Republicans against the Affordable Care Act?

The opposition to a government role in health care is based on the fact that that the vast majority of our citizens do not trust their government. Republicans are much less trusting of the federal government and much less supportive of a government role in health care than Democrats.

What happens to ACA subsidies in 2026?

We project that in 2026: 1.56 million Californians who would otherwise have gotten subsidies would face higher premium costs because their subsidies either were eliminated or decreased. On average, these Californians would pay $967 more per year, even taking into account that some would switch to lower-cost coverage.

Do ACA plans have lifetime limits?

Under the Patient Protection Affordable Care Act (ACA), most health plans and insurance policies may not set lifetime or annual limits for essential health benefits. Health plans are allowed to set annual dollar limits and lifetime limits on health care services that are not considered essential health benefits.

What is the current status of the ACA?

Based on 2023 and early 2024 enrollment data, more than 45 million people are currently enrolled in Marketplace or Medicaid expansion coverage under provisions of the Affordable Care Act (ACA), the highest total on record.

How many Americans are uninsured in 2024?

In Q1 2024, the estimated uninsured rate for the full population is 8.2 percent, which corresponds to 27.1 million individuals without insurance. This rate is not significantly different from the Q4 2023 uninsured rate of 7.7 percent.

What is the ACA affordability percentage for 2025?

The IRS recently announced the 2025 ACA affordability percentage, increasing from 8.39% of an employee's household income in 2024 to 9.02% in 2025*.

How many Americans use the ACA?

“Nearly 50 million Americans have been covered through the Affordable Care Act's health insurance marketplaces over the last decade.

How many employees before ACA is required?

An applicable large employer, generally those with 50 or more full-time employees, including full-time equivalents. If you have no employees, the information in the section below does not apply to you.

Who pays for ACA subsidies?

The federal government subsidizes health insurance for over 150 million Americans through various programs and tax benefits. The Congressional Budget Office (CBO) reports that in 2023, those costs and subsidies added up to $1.6 trillion, net of offsetting receipts, mainly from Medicare and Medicaid.

Has the Affordable Care Act been successful?

The ACA continues to be a successful, popular, and important federal program to millions of people and their families.

Will I have to repay ACA subsidy?

If your household income (MAGI) is at least 400% of the previous year's federal poverty level (FPL), you'll have to repay all of the excess APTC. But if your household income is below that threshold, there are caps on how much excess APTC you must repay.

What is the biggest problem with the Affordable Care Act?

Impact on Individual Insurance

It was also known that consumers would face a very different health insurance world under the ACA, with some people seeing their premiums go down and some seeing them go up, and the majority of Americans seeing higher deductibles, higher copays, and a smaller pool of providers.

How many times have Republicans tried to repeal Obamacare?

After the July 27, 2017 vote on the Health Care Freedom Act, Newsweek "found at least 70 Republican-led attempts to repeal, modify or otherwise curb the Affordable Care Act since its inception as law on March 23, 2010."

What if I overestimate my income for Obamacare in 2024?

When you file your taxes, if your income is less than what you told us on your application, you may receive a credit or refund. If your income is more than what you told us on your application, you may have to repay some or all of the advanced premium tax credits that you got.

Who is eligible for government subsidy 2024?

1. Full subsidy. In or after 2024, to be eligible for a full (100%) premium subsidy, the individual must have countable income less than 150% of the FPL for the applicable State and family size. Before 2024, the individual's countable income must be less than 135% of the FPL for the applicable State and family size.