Almost 24 million Americans have signed up for plans offered under the Affordable Care Act, driven by subsidies that are expiring and that Congress may not renew.

A record 24 million people have signed up for insurance coverage through the Affordable Care Act, former President Barack Obama’s landmark health legislation, as the program awaits an uncertain future

Nearly 24 million Americans enrolled in the Affordable Care Act for 2025, a record-breaking total. The White House said Wednesday over 45 million people now have ACA health insurance.

Obamacare coverage has exploded in popularity during President Joe Biden’s term, fueled by more generous federal subsidies, heightened outreach and less paperwork.

Enrollment in Affordable Care Act health insurance plans has grown every year of the Biden administration, leading to a record high rate of people with insurance.