Many Americans are feeling the financial pain following the expiration of enhanced federal subsidies for Affordable Care Act marketplace health insurance.

About 1 in 10 people — 9% — who were enrolled in an ACA marketplace health plan last year are now uninsured following the lapse of enhanced subsidies that reduced their monthly premiums, according to a new survey by KFF, a nonpartisan health policy research group.

Many more people said they downgraded health insurance or face financial stress due to higher costs for health care, according to the poll.

The lapse of enhanced premium tax credits led health premiums to more than double for the average ACA enrollee in 2026, according to KFF. About 22 million people — more than 90% of all ACA enrollees — received those subsidies last year.

“Returning enrollees are really struggling with costs,” said Lunna Lopes, a senior survey manager at KFF.