President Biden and Vice President Harris have announced a record-breaking enrollment for the Affordable Care Act (ACA) Marketplace, with nearly 24 million Americans signing up for coverage during the 2025 Open Enrollment Period. This brings the total number of Americans covered through the ACA, including Medicaid expansion, to 45 million.
President Biden stated, “Today, we have once again set a record when it comes to ensuring access to affordable, quality health care: nearly 24 million Americans have signed up for Affordable Care Act coverage. That means that enrollment has nearly doubled since I took office. That’s no coincidence." He emphasized his administration's commitment to lowering healthcare costs and strengthening healthcare programs.
The administration credits its efforts to reduce healthcare costs and simplify enrollment processes for this achievement. Consumers reportedly save an average of $800 annually on premiums due to these measures. However, there is concern that Republican actions in Congress could jeopardize these advancements by removing enhanced premium tax credits, potentially leading to increased premiums and loss of coverage for millions.
The administration also highlighted other achievements in healthcare reform. Medicaid now covers about 80 million people, with over one million gaining coverage through recent expansions in four states. The administration has also streamlined Medicaid application processes and introduced new standards for care access.
Additional initiatives include President Biden’s Medicare Drug Price Negotiation program, which has reduced drug prices significantly. Seniors benefit from a $2,000 cap on out-of-pocket costs and a $35 monthly insulin cap. The "family glitch" was resolved to allow more families access to affordable ACA Marketplace coverage.
Efforts have also been made in mental health support through the 988 lifeline service and reducing overdose deaths by 17% over a year. Maternal health improvements include extended Medicaid postpartum coverage across most states.
The administration remains focused on continuing progress in making healthcare more accessible and affordable while urging Congress to maintain support for current programs.