The Affordable Care Act has seen steady growth over the past five years
ACA enrollment in millions
On
exchange
Off
exchange
Oct
2018
Jan
2019
Apr
Jul
Oct
Jan
2020
Apr
Jul
Oct
Jan
2021
Apr
Jul
Oct
Jan
2022
Apr
Jul
Oct
Jan
2023
Apr
11.4
2.6
11.4
3.2
12
4.7
14.5
3.2
16.5
3
14
14.6
16.7
17.7
19.5
