States ranked by 2023 ACA enrollment (2024)

FAQs

Which states use ACA the most? ›

Florida had the largest number of ACA exchange plan sign ups for 2023, according to new data from CMS. A total of 16.3 million people enrolled in marketplace coverage between Nov. 1 and Jan.

West Virginia has the worst health care in the nation.

Though West Virginia ranks No. 3 for accessibility, it has the worst health outcomes of any state, with the highest rate of preventable deaths (1,229 deaths per 100,000 residents) and diabetes mortalities.

As of June 2023, about 24.5 million adults were enrolled in the ACA Medicaid expansion group. States that adopted the expansion have dramatically lowered their uninsured rates and reduced state spending on uncompensated care.

To date, 41 states (including DC) have adopted the Medicaid expansion and 10 states have not adopted the expansion. Current status for each state is based on KFF tracking and analysis of state expansion activity.

Montana is the best state for doctors, and it has one of the top hospital systems in the country, with 82.5% of patients giving their hospital a score of 9 or 10 out of 10. Montana doctors also receive high wages.

The Legislature's refusal to expand Medicaid coverage to the working poor is the culprit. Texas is one of only 10 states that does not provide a health care program for all low-income people.

For 2021 through 2025, subsidies are more robust than they usually are. There is no “subsidy cliff” for these five years.

What is the highest income to qualify for Obamacare? ›

The income range is $30,000 to $120,000 in 2024 for a family of four. (Income limits may be higher in Alaska and Hawaii because the federal poverty level is higher in those states.) The American Rescue Plan Act of 2021 also extended subsidy eligibility to some people earning more than 400% of the federal poverty level.

States ranking for best health and healthcare for senior adults in the U.S. in 2023. In 2023, across all states in the United States, Utah was ranked as the healthiest state for older adults aged 65 years and above, followed by New Hampshire and Colorado.

Across coverage groups, a total of 45 million Americans are enrolled in coverage related to the ACA, the highest total on record. This represents 14.1 million more people enrolled than in 2021 (a 46% increase) and 32.5 million more people enrolled than in 2014 (a 258% increase, or more than triple).

The biggest winners from the law include people between the ages of 18 and 34; blacks; Hispanics; and people who live in rural areas.

As of 2023, roughly 40 million individuals now benefit from ACA-related enrollment in health care programs such as Medicaid or purchased from the Marketplace.