On March 23, the Department of Health and Human Services (HHS) released a report from the Office of the Assistant Secretary for Planning and Evaluation (ASPE) showing more than 40 million people are currently enrolled in Marketplace or Medicaid expansion coverage related to provisions of the Affordable Care Act (ACA), the highest total on record.

The report, which was released as the Administration celebrates the 13th anniversary of the ACA, noted that the record enrollment levels are due in part to enhanced subsidies for Marketplace coverage included in the American Rescue Plan Act of 2021 and later extended by the Inflation Reduction Act of 2022. The Medicaid and CHIP continuous enrollment provision for the COVID‐19 public health emergency will come to an end on March 31, following the enactment of the Consolidated Appropriations Act of 2023 (LeadingAge resources on the unwinding of Medicaid Continuous Coverage are here). 

The White House also released state-by-state fact sheets on the potential impacts that proposed policy changes, such as repealing the ACA and cutting Medicaid funding, would have on various populations, including older adults and people with disabilities.