Sign-ups in Affordable Care Act marketplaces reach record 14.5 million

Still, even without being final, the new sign-up figure is 21 percent greater than the final enrollment — 12 million — in federal and state marketplaces a year ago. The previous record was nearly 12.7 million sign-ups for 2016, the marketplaces’ third year. Even during the Trump years, ACA enrollment never fell below 11 million, and it increased slightly for 2021, during the pandemic.

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