NPR Health As ACA enrollment drops, hopes for Congress to restore funding are fading By Selena Simmons-Duffin Published January 17, 2026 at 5:00 PM EST Facebook LinkedIn Email Listen • 2:41 ACA enrollment is down for the first time in 5 years, and people are facing enormous premium hikes. Hopes for Congress to restore funding are fading. Copyright 2026 NPR