In 2024, the individual market witnessed unprecedented growth, reaching a new high of 21.4 million beneficiaries. This surge in enrollment was predominantly seen in federally facilitated marketplaces (FFMs). From 2020 to 2024, FFMs experienced an average growth of 126%, compared to a 22% growth in state-based marketplaces (SBMs).

Several regulatory adjustments have significantly contributed to the record-high ACA enrollment in 2024, particularly in FFMs. Recent changes like the Medicaid unwinding and the "family glitch” fix, along with the introduction of special enrollment periods, enhancements to websites, and robust outreach campaigns, have already shown their impact.