Trump administration cancels ACA coverage for 760,000 people

The Trump administration has canceled the health insurance coverage of approximately 760,000 individuals enrolled in Affordable Care Act (ACA) marketplace plans. The move, announced on September 22, 2026, by Vice President JD Vance and Centers for Medicare & Medicaid Services (CMS) Administrator Dr. Mehmet Oz, is based on allegations of fraudulent enrollments or claims that certain enrollees do not exist.

According to Vice President Vance, who leads the White House Task Force to Eliminate Fraud, the termination of 315,000 enrollments—affecting 760,000 people—is expected to recover $2.2 billion in federal premium subsidies. An additional 419,000 enrollments have been flagged for further verification regarding income and immigration status.

Dr. Oz noted that 35 percent of those in the system had never utilized the program, citing a lack of doctor visits or prescription fills. The administration has also implemented a six-month freeze on the registration of new ACA agents and brokers for the 2027 open enrollment period, which begins November 1. The policy cancellations were applied retroactively, taking effect on August 31.