Obamacare Improper Enrollment Cost US Taxpayers $65,000,000,000 In Just One Year, New Report Reveals

August 26, 2026 10:28 AM ET Improper enrollment across Affordable Care Act exchanges cost American taxpayers billions of dollars in 2024, according to a Paragon Health Institute analysis released Wednesday.Combining Paragon’s previous estimates of improper exchange enrollment and Medicaid expansion enrollment suggests that 14.3 million individuals enrolled in these programs in 2024, or 34% of total ACA enrollees, were actually ineligible, according to the report. The analysis also projects that improper enrollment across the two ACA programs cost the federal government approximately $65 billion in 2024. (RELATED: As Obama’s Healthcare Crown Jewel Implodes, Americans Foot The Bill)Moreover, improper exchange enrollment rose by over 26% from 2024 to 2025, up to an estimated 6.5 million total