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总结
美国医疗保险与医疗补助服务中心（CMS）发布《Marketplace 2026年开放注册期全国快照》显示，2026年奥巴马医保（ACA）市场在开放注册期初期的参保人数较上年减少约140万人。多家媒体报道认为，强化补贴到期导致保费与参保成本上升，是报名下滑的重要背景；但州际差异明显，得州仍创开放注册纪录。该趋势引发对可负担性与补贴政策延续的关注。
正文
Marketplace 2026 Open Enrollment Period Report: National Snapshot Centers for Medicare & Medicaid Services | CMS (.gov) Initial Obamacare Enrollment Drops by 1.4 Million as Expiring ACA Subsidies Drive Up Premiums The New York Times Texas breaks ACA health insurance open enrollment record The Texas Tribune ACA enrollment sinks sharply as coverage costs soar in 2026 CBS News Fewer Americans sign up for Affordable Care Act health insurance as costs spike AP News
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