More Texans sign up for Affordable Care Act plans in 2026
Texas set a new record for Affordable Care Act health plan enrollment for the 2026 coverage year, according to newly released data from marketplace officials, even as overall ACA enrollment declined across the United States. State figures show more Texans signed up for marketplace coverage than in any previous year since the law took effect, making Texas an outlier compared with states that reported flat or reduced participation. The 2026 enrollment totals include individuals and families who obtained qualified health plans through the federal exchange during the latest open enrollment period.