Maryland’s exchange reports record enrollment but warns subsidy losses raise affordability risks State exchange leaders told the Senate Finance Committee that Maryland hit a record 255,612 enrollments, and that a state premium assistance program is protecting roughly 177,000 people. Officials warned households above 400% of FPL lost federal help and the reinsurance fund will require policy choices before 2028.

Maryland has reached a historic enrollment of over 255,000 for health coverage, but rising affordability challenges threaten thousands of families as federal support fades.

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