local
Texas’ ACA enrollment shrinks by 4% after tax credit expiration, new federal data shows
By Texas Tribune, By Gabby Birenbaum, Data Analysis By Dan Keemahill at KSAT 12 (ABC affiliate) — San Antonio
· July 9, 2026
· 7 min read
The number of Texans who paid for the first month of their Affordable Care Act coverage dropped 4% this year, the state’s first year-over-year decline since 2019, according to a first nationwide glimpse at how coverage through the federal marketplace is shaking out this year.Texas was one of a ha...
Key takeaway That data shows that Texas’ effectuated ACA population fell from 3.
Why this matters in Terrell Hills News
The 4% decline in Texas' Affordable Care Act enrollment has significant implications for Terrell Hills residents, many of whom rely on the federal marketplace for health insurance. As the state with the second-highest number of ACA enrollees, Texas' experience is closely watched, and the drop in effectuated enrollment is a concern for local communities. The expiration of tax credits and subsequent higher premiums have likely priced some residents out of the market, leaving them without coverage. Terrell Hills residents who have maintained their coverage may still face higher costs, which could impact their ability to access healthcare services. The fact that Texas fared better than most states, with a smaller decline in enrollment, is a positive note, but the overall trend is still a concern for local healthcare advocates and policymakers, who will need to consider strategies to support residents who have lost or may lose their coverage.
About this story
Original reporting by KSAT 12 (ABC affiliate) — San Antonio . Terrell Hills News surfaces reporting from trusted publishers and adds local editorial context so readers can quickly understand what a story means for their community. We attribute every source, link to the original report, and follow a documented editorial standards policy. To understand how stories are selected and reviewed, read our about page .
For the complete original report, visit KSAT 12 (ABC affiliate) — San Antonio . Have a tip or correction? Contact our newsroom .
Category: local ·
Published: July 9, 2026 ·
Source: KSAT 12 (ABC affiliate) — San Antonio ·
Reading time: 7 min
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Frequently asked about this story
What is this story about? The number of Texans who paid for the first month of their Affordable Care Act coverage dropped 4% this year, the state’s first year-over-year decline since 2019, according to a first nationwide glimpse at how coverage through the federal marketplace is shaking out this year.Texas was one of a ha...
When was this published? This article was first published on July 9, 2026 by KSAT 12 (ABC affiliate) — San Antonio and curated for Terrell Hills News readers.
Who reported this story? This story was reported by Texas Tribune, By Gabby Birenbaum, Data Analysis By Dan Keemahill at KSAT 12 (ABC affiliate) — San Antonio. To learn more about how Terrell Hills News selects and reviews stories, see our editorial standards .
Where can I find related coverage? See more local coverage from Terrell Hills News, or browse our daily briefing and topic hubs .
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