The impact of cuts to Affordable Care Act subsidies on Pennsylvanians is becoming clear, and Lancaster County is among the leaders in insurance plan terminations by one measure.
So far, total enrollees in Lancaster County is down 18% percent compared with the number of policies in place before open enrollment for this year started. That puts Lancaster County among the top nine of Pennsylvania’s 67 counties by percentage decrease.
Only four counties – Greene, Snyder, Schuylkill, Monroe – were higher at 19%. Four additional counties stood at 18% with Lancaster – Fulton, Lehigh, Carbon and Northampton. The numbers are as of Tuesday – this most recent data available – and will change as Pennsylvania recently extended the open enrollment deadline through the end of the month.
The data reported Tuesday by Pennie, the state’s Affordable Care Act marketplace, shows that total enrollees in Lancaster County stood at 15,113 at the start of open enrollment for 2026. Since then, there have been 2,738 terminations, about 18% of the total at the start of open enrollment.
Since the start of open enrollment, Pennie has seen a 12% decrease in enrollees statewide. On average, 1,000 Pennsylvanians have been dropping coverage each day during open enrollment.
The highest level of terminations by income have been in the 150% to 200% Federal Poverty Level range, which equals $23,475 to $31,300 for a single adult.
Congress did not extend enhanced Affordable Care Act subsidies before they expired at the end of last year. This meant less subsidy funding to help enrollees pay insurance plan premiums, leading observers to expect a decrease in enrollment.
Due to the end of the subsidies, the average monthly percentage increase in Lancaster County per policy is 64%, according to Pennie. Average 2026 cost increase per member per month in Lancaster County totals $174.
To learn more about Affordable Care Act plans available through Pennie, go to pennie.com. Jan. 31 is the final day of open enrollment for 2026.
Data from Lancaster, surrounding counties
Data from Pennie, the state’s Affordable Care Act marketplace, show the impact of cuts to Affordable Care Act subsidies on Lancaster and surrounding counties. The numbers listed here show total enrollees at the start of open enrollment, the number of terminations since open enrollment, and the percent decrease between the two numbers. The data is as of Tuesday, the latest available.
Lancaster County
15,113; 2,738, 18%
York County
19,320; 3,032, 16%
Lebanon County
5,393; 872, 16%
Berks County
15,503; 2,425, 16%
Chester County
19,722; 2,448, 12%
Dauphin County
11,244; 1,581, 14%
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