U.S. Health Insurance Marketplace Enrollment Trends (2014–2025)

The South consistently leads all other regions, showing rapid and sustained growth, especially after 2021, reflecting expanding participation and outreach efforts. The West also displays strong upward movement, though at a steadier pace. In contrast, the Midwest and Northeast experienced slower early growth and temporary plateaus before recovering in the later years, with both regions showing renewed enrollment momentum by 2025. Overall, the data reveal an expanding national marketplace with particularly sharp gains driven by southern states.

Nationwide, marketplace enrollment has grown steadily since 2014, with millions more Americans gaining coverage each year. The upward trend across all regions reflects the continued importance of the Health Insurance Marketplace in expanding access to affordable healthcare. For detailed state-level insights and visual trends, explore the full U.S. report.