A recent report shows that Nevada is seeing a decline in Affordable Care Act marketplace enrollment as enhanced federal premium subsidies have expired. For many Nevadans, rising premiums mean difficult choices between paying for health insurance and paying for groceries, rent, housing, or other basic necessities.

New federal data show that Nevada’s Affordable Care Act Marketplace enrollment fell from 107,749 people in February 2025 to 99,663 in February 2026.

That means 8,086 fewer Nevadans had active Marketplace health coverage—a decline of 8 percent in just one year.

The decline followed the expiration of enhanced premium tax credits that had helped lower monthly insurance costs. Nationally, Marketplace enrollment fell by more than 2.6 million people, or 12 percent.

These numbers represent neighbors who may now be delaying preventive care, skipping prescriptions, or living without health insurance because coverage has become too expensive. When people lose coverage, they are more likely to wait until a health concern becomes an emergency. The consequences are felt not only by individuals and families but by our entire community.

As people of faith, we believe every person is created in the image of God and deserves the opportunity to live a healthy, dignified life. Access to affordable health care is one way we love our neighbors and seek the common good.

At Lutheran Engagement and Advocacy in Nevada (LEAN), we support policies that expand access to affordable, quality health care and protect Nevada families from losing the coverage they depend on. We encourage Congress to pursue solutions that keep health care within reach for working families, older adults, small-business owners, and everyone who relies on the Marketplace for coverage.

Healthy communities begin with healthy people, and healthy people need affordable access to health care.