The Centers for Medicare & Medicaid Services announced on June 7 that 23.1 million consumers selected or were automatically re-enrolled in coverage through HealthCare.gov and State-Based Exchanges during the 2026 Open Enrollment Period.
According to the agency, the Health Insurance Exchanges 2026 Open Enrollment Report summarizes plan selection activity across all 50 states and the District of Columbia, including data on demographics, premiums, financial assistance, and cost sharing.
CMS said it took significant enforcement action in 2025 to identify and remove improper enrollments. The agency ended advance payment of the premium tax credit or coverage for nearly 1.5 million people found to be either ineligible for financial assistance or enrolled without their authorization on the HealthCare.gov platform.
Plan selection trends shifted during this period, with CMS reporting that 40% of enrollees selected Bronze plans, 43% chose Silver plans, and 17% opted for Gold plans. Compared to the previous year’s open enrollment period, Bronze plan enrollment increased by ten percentage points, Gold increased by four points, while Silver decreased by nearly fourteen points.
Nearly half of enrollees (46%) had household incomes between 100-150% of the federal poverty level with most receiving financial assistance. The report also includes a six-year overview of insurance agent- and broker-assisted enrollments for HealthCare.gov states for the first time. Data on Health Savings Account-eligible plan selections will be made available due to policy changes from the Working Families Tax Cut legislation. Operational updates include Illinois’ transition to a State-Based Exchange and the launch of a Basic Health Program in the District of Columbia.
CMS said that it plans to release effectuated enrollment data later this spring according to the official roster page.
