After Mike Carey failed to extend the ACA tax credits last year, Ohio saw the largest drop in ACA enrollment in the entire country.
 Thanks to Carey’s cruelty, more than 160,000 Ohioans have dropped ACA coverage altogether – a loss of nearly a third of enrollees – while others saw their premiums nearly double.
The devastating drop in ACA enrollees comes a year after Carey also cast a decisive vote for the largest cuts to Medicaid in history, putting 17,600 of his own constituents at risk of losing Medicaid coverage.
DCCC Spokesperson Riya Vashi:
“Nearly 1 in 3 formerly enrolled Ohioans have dropped ACA coverage because of Mike Carey, who has spent his time in Congress laser focused on ripping away health care from hardworking Ohio families. Ohioans deserve better than Mike Carey, and they’ll hold him accountable for his betrayal come November.”
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Ohio Capital Journal: Ohio saw the largest drop in enrollment after Trump/Republican Affordable Care Act cuts
- Ohio is the state that saw the biggest drop in enrollment in health plans under the Affordable Care Act, according to federal data first reported by the Associated Press.
- The losses come after the Republican-controlled Congress last year allowed pandemic-era subsidies to buy insurance on ACA exchanges to expire. That caused premiums to double for most of the 25.2 million Americans who got their insurance there.
- After the subsidies expired, national enrollment dropped by 2.6 million in February 2026 when compared to February 2025, the AP reported. That’s about a 10% drop.
- In Ohio, the losses went much deeper.
- Enrollment dropped from just under half a million in February 2025 to 336,000 four months ago. That’s a loss of nearly a third of enrollees, 32.4% or 161,385 people.
- Congressional Republicans — including Ohio’s senators — allowed the subsidies to expire months after voting in favor of President Donald Trump’s Big Beautiful Bill Act.
- Simply dropping coverage purchased on Obamacare exchanges doesn’t mean people didn’t get it elsewhere, but some are likely to become uninsured.
- The subsidies helped bring down the share of uninsured Americans to its lowest level ever. With them expiring Dec. 31 and with the Trump bill’s Medicaid cuts, it’s reasonable to assume that the portion of Ohioans who lack health insurance is going to go up substantially this year, said Natasha Murphy, health policy director at the Center for American Progress.
- “Early marketplace enrollment data already show coverage declines, and the combination of the loss of enhanced premium tax credits and other recent federal policy changes is making health insurance harder to afford, leaving many families without a realistic alternative.”
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