The Centers for Medicare and Medicaid Services issued a press release with enrollment figures for the 2025 Open Enrollment Period. There is one more week left, so if you need insurance, sign up NOW!
The Centers for Medicare & Medicaid Services (CMS) reports that, as of January 4, 2025, 23.6 million consumers have selected a plan for coverage in 2025 since the start of the Marketplace Open Enrollment Period (OEP). Over 20.4 million consumers had active 2024 coverage and selected a plan for 2025 coverage or were automatically re-enrolled. Marketplace Open Enrollment on HealthCare.gov runs through January 15. Consumers who enroll by midnight local time on January 15 (no later than 5 a.m. ET on January 16) can get coverage that starts February 1, 2025. State-based Marketplace enrollment deadlines vary.
There is tremendous variation between states. The short version is the Southern states that have not yet expanded Medicaid are going gangbusters:
Florida HealthCare.gov 4,633,650
Georgia SBM 1,507,555
Texas HealthCare.gov 3,861,244
Just those three states have 42% of national on-Exchange Qualified Health Plan enrollment. Once we throw in North Carolina which has expanded Medicaid, we’re looking at just under 47% of national ACA individual market enrollment in these four states including a pair of swing states.
The last final exam question I gave my Duke public policy students was “If these 4 states have 45%+ of total ACA enrollment, does this change the politics of repeal and replace?”
We’ll find out this spring.
Barreling Toward Jan 20
cmorenc
Don’t underestimate Trump’s passion to destroy Obamacare simply for spite to destroy any positive accomplishments by Obama or Ds. Although what he may do is to repackage it in some inferior form with weakened preexisting condition protection and coverages as “Trump Care” in order to steal credit for it.
Trump is so petty as to throw shade on Jimmy Carter because of flags still at half-staff on jan 20 or holding that press conference as Carter’s body was brought to lie in state…is predictive of the future. But y’all knew that.
Old School
West of the Rockies
@Old School:
Investors, shareholders, and CEO’s want their damn (gravy) money! Will no one think of the investor class?
Yeah, capitalism relies on Investors to some degree, but is their disposal income more important than grandma’s cancer treatment?
West of the Rockies
Thanks for this post, David. Yup, red staters voting against everybody’s best interests: details at 11.
lowtechcyclist
@Old School:
This seems obvious, of course, but it’s necessary to prove the truth of even blatantly obvious conclusions like this one.
Kosh III
@West of the Rockies: ” but is their disposal income more important than grandma’s cancer treatment?”
Rhetorical of course.
Ohio Mom
David, I send your reminders about sign-up deadlines to the young people in my life and at least one of them has thanked me because he’d forgotten he had to do that.
Just another checkmark for you under “Yes” on the clipboard list St. Peter is going to be reviewing when you get to the Pearly Gates.
West of the Rockies
@Kosh III:
Of course… that ROI cash ain’t gonna spend itself. And was anyone all that nuts about Grammy anyway?
Anonymous At Work
Look at each of the 4 Republicans individually:
Scott (FL) is a walking Conflict of Interest, via his wife and friends. He “resigned” as CEO of HCA at the same time that they paid the largest fine ever for Medicare fraud. No one admitted guilt. He’s gonna have friends in health insurance who want to return to the hookers-and-blow times.
Rubio (FL) will resign to be Secretary of State. Trump has made Rubio into his bitch and a joke, but Rubio’ll be confirmed as a “least unqualified” candidate. That leaves Ron DeSantis to name a replacement and DeSantis can be counted upon to troll liberals, if nothing else, so the replacement will be both awful and a lock to repeal.
Cruz (TX) actually cares about his constituents, rich and poor equally, and would never subject them to pain and suffering…KIDDING…Rafael “Ted” Cruz is the OG version of DeSantis and a troll’s troll.
Coryn (TX) has only somewhat more of a spine than Rubio but votes with party 100% of the time.
It doesn’t matter how many are impacted. This is a party-line decision, with only Murkowski as a wildcard. Suzy Collins of Maine will vote against her party if there’s votes to spare to preserve her “moderate” record. Romney is gone and McCain is dead. So, to the extent that Republicans try to overturn things via reconciliation, it’s a done deal, 51-49 at least.
Matt
Not in the slightest – the peckerwoods will cheer for “repealing OBAMAMACARE” and then blame “illegals” when their health insurance stops working.
David Anderson
@Anonymous At Work: look at the House.
2 to 5 vote margin of error
sab
@Ohio Mom: David has been an important information source for me and mine for years now. They don’t know who he is, but they hear second hand whst he says.