The Maryland Health Benefit Exchange hasn't released any press releases since Oct. 31st, so the only official 2025 Open Enrollment Period (OEP) data I have for the state is from this snapshot report issued by the Centers for Medicare & Medicaid Services (CMS) back on Dec. 4th, which placed Maryland enrollment at just 30,270 people as of Nov. 23rd...plus another 185,438 current enrollees who were categorized as having been automatically re-enrolled, for a total of 215,708 QHP selections as of early December.

By comparison, by the end of the 2024 OEP, Maryland reported a total of 213,895 QHP selections, so it certainly looks like the Old Line State is running ahead of last year.

With that in mind, this article from WTOP News sounds about right, although the exact phrasing of some of the numbers make it a little confusing:

via CoverME.gov:

Plan Selection Snapshot

The Maine Department of Health and Human Services (DHHS) Office of the Health Insurance Marketplace (OHIM) will release biweekly updates on plan selections through CoverME.gov, Maine’s Health Insurance Marketplace.  

Plan selections provide a snapshot of activity by new and returning consumers who have selected a plan for 2025. “Plan selections” become “enrollments” once consumers have paid their first monthly premium to begin insurance. These numbers are subject to change as consumers may modify or cancel plans after their initial selection.   

The deadline to select a plan for coverage beginning January 1, 2025 is December 15, 2024. Consumers who select a plan between December 16, 2024 and January 15, 2025 will have coverage beginning February 1, 2025. 

via the Centers for Medicare & Medicaid Services (CMS):

September 2024 Key Findings

Medicaid and CHIP Enrollment

  • In September 2024, 79.4 million individuals were enrolled in Medicaid and CHIP.
    • 72.2 million individuals were enrolled in Medicaid, and 7.2 million individuals were enrolled in CHIP.
    • 41.7 million adults were enrolled in Medicaid, and there were 37.6 million Medicaid child and CHIP enrollees.

Medicaid and CHIP Applications Received

Originally posted 12/27/24

South Carolina has around ~632,000 residents enrolled in ACA exchange plans, 95% of whom are currently subsidized. I estimate they also have another ~36,000 unsubsidized off-exchange enrollees.

Combined, that's ~668,000 people, although assuming the national average 6.6% net enrollment attrition rate applies, current enrollment would be back down to more like 623,000 statewide.

Every month for years now, the Centers for Medicare & Medicare Services (CMS) has published a monthly press release with a breakout of total Medicare, Medicaid & CHIP enrollment; the most recent one was posted in late February, and ran through November 2022.

Since December 2022, however, they haven't sent out the normal press release; instead, they included a brief note leading to a Medicaid/CHIP data slideshow , along with another note leading to their new Medicare Monthly Enrollment database.

In any event, according to the spreadsheet I exported, as of September 2024:

ORIGINAL STORY & PRIOR UPDATES HERE.

(sigh) Goddammit. This isn't terribly surprising but it's still pretty disappointing.

As laid out in my prior (repeatedly updated) story about this ongoing saga, the eligibility of up to 100,000 or so uninsured DACA recipients to enroll in healthcare coverage via the ACA marketplaces has been bouncing back & forth for some time now. President Biden originally made a rule change to make them eligible to enroll back in May 2024. Unfortunately, earlier this fall a coalition of 19 Republican state Attorneys General filed a lawsuit to block the Biden Administration from enrolling DACA recipients, and the courts have ping-ponged their status a few times ever since.

Things were looking good a week or so ago when the 8th Circuit Court issued a stay on the injunction...but I just got the most recent ruling from the 8th Circuit Court, and it's bad news:

This morning, the Twitter account NewsWire_US, which claims to be a "U.S. and world news aggregator," posted an amazing-looking graph which purports to break out "Obamacare applications by state for 2025" by states which voted for Donald Trump vs. those which voted for Kamala Harris last month.

Here's the graph, which includes no further context (including any data sources...NewsWire claims it came from Reuters but I can't find the original link to a story by them with this graph) beyond making it look like a whopping 82% of ACA enrollees live in Trump states:

Update: Here's the original Reuters article, which was actually published on Dec. 11th, which at least explains why it only includes data through Nov. 16th/9th, anyway.

Update: Newsweek has run with the ball on this story without actually looking at the data properly as well.

Originally posted 12/24/24

Ohio has around ~583,000 residents enrolled in ACA exchange plans, 91% of whom are currently subsidized. I estimate they also have another ~25,000 unsubsidized off-exchange enrollees.

Combined, that's ~609,000 people, although assuming the national average 6.6% net enrollment attrition rate applies, current enrollment would be back down to more like 568,000 statewide.

Last week I reposted a press release & video from the Rhode Island Dept. of Administration explaining the details of a major security breach of the state's social services system.

Today it looks like the issue was a lot worse than I thought. via WPRI:

On Monday, Gov. Dan McKee said his team has identified 650,000 people whose personal information was stolen in the recent cyberattack on the state’s IT system for social services.

Yikes. FWIW, Rhode Island only has around 1.1 million people, so this basically means that 60% of the entire state population has had their personal info compromised. 

...Earlier this month, the cyberattack shut down the state’s IT system known as RIBridges, which serves as an eligibility database for a host of social services, such as SNAP and Medicaid, along with subsidized health insurance through HealthSourceRI.

via NV Health Link:

With Open Enrollment going on now through Nevada’s official health insurance marketplace known as NevadaHealthLink.com, there are less than two weeks left for Nevadans to get coverage starting the first of the new year. Nevadans must enroll in a plan by 11:59 p.m. on December 31, 2024, for their health insurance coverage to be effective starting January 1, 2025.

Those who don’t enroll by December 31 will still have a chance to enroll in coverage through January 15, 2025, however, those who enroll between January 1 and January 15, 2025, will have coverage beginning February 1, 2025.

Open Enrollment began on November 1 and since then, over 30,000 Nevadans have actively enrolled in a plan, with 15,236 being new to enroll on Nevada Health Link. The Open Enrollment Period is the only time of year Nevadans can freely enroll in a health insurance plan through NevadaHealthLink.com without experiencing a qualifying life event, such as getting married, having a baby or moving.

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