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RFK Jr., Oz blame ACA enrollment drop on fraud, but experts cite rising costs

RFK Jr., Oz blame ACA enrollment drop on fraud, but experts cite rising costs

Summary

Enrollment in Affordable Care Act (ACA) health plans dropped by nearly 3 million people this year, falling to about 19.2 million. The Trump administration says this is because of fraud and removal of fraudulent enrollees, but experts say rising insurance costs and higher premiums are the main reasons people are dropping coverage.

Key Facts

  • ACA enrollment decreased by about 3 million people between 2025 and 2026.
  • Average monthly premiums for ACA plans rose 58% to $178 in 2026.
  • Deductibles increased 37% on average, reaching nearly $3,800 per year.
  • A Department of Health and Human Services report claims 5.6 million people were fraudulently enrolled in 2025.
  • The Trump administration removed 2.9 million alleged fraudulent enrollees, matching the enrollment drop.
  • Experts dispute the fraud claim, saying rising premiums are the bigger factor in people leaving ACA plans.
  • The administration ended a program allowing low-income people to sign up for ACA plans year-round, which they suggest led to fraud.
  • Voters are concerned about healthcare costs, with Democrats seen as more trusted to handle costs, while Republicans emphasize fighting fraud.
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