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Which state has the largest number of people receiving ACA premium tax credits in 2023 or 2024?

Checked on November 4, 2025
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Executive Summary

Florida is the most consistently cited state with the largest number of people receiving Advanced Premium Tax Credits (APTC) in both 2023 and 2024 across the provided analyses, with figures cited around 3.0–3.1 million recipients in 2023 and about 4.0 million in 2024 [1] [2]. Competing interpretations point to Texas and California as contenders depending on whether one counts total Marketplace enrollees, state reporting differences, or timing of data snapshots, so the apparent discrepancy arises from different data sources and reporting periods [3] [4] [5].

1. Bold Claim: Florida Leads the Nation in APTC Recipients — What the Data Say

Multiple analytic summaries in the provided materials state that Florida had the largest number of APTC recipients in both the 2023 and 2024 plan years, with specific counts cited: roughly 3,021,216 [6] and 4,021,735 [7] in one extract, and slightly different figures such as 3,107,971 [6] and 4,021,735 [7] in another [1] [2]. These summaries emphasize Florida’s particularly high share of Marketplace enrollees receiving subsidies—near 97–98%—which magnifies Florida’s standing when ranking states by number of APTC recipients. Florida’s dominance in these summaries rests on both high absolute enrollment and a very large share of enrollees qualifying for tax credits, attributable to state-level demographics and policy context described in the analyses.

2. Contrasting View: Texas and California Appear as Strong Contenders in Some Reports

Other provided analyses present a different lens: Texas is named as having extremely large Marketplace plan selections—over 2.4–3.3 million depending on the document—and projections suggesting it would see the largest increases under enhanced premium tax credits, positioning Texas as a plausible leader in the number of APTC recipients in certain snapshots or projections [3] [5]. California is repeatedly cited as having the largest number of Marketplace plan enrollees in some reports—figures around 1.7–1.75 million for Marketplace plans—but because a smaller share of enrollees may receive APTC relative to Florida, California’s lead in total Marketplace enrollment does not automatically translate to the largest APTC recipient count [4] [1]. These differences reflect whether sources report total enrollees, APTC recipients, or projections.

3. Why Sources Disagree: Timing, Definitions, and Data Snapshots Matter

The divergent conclusions flow from three technical differences across the analyses: timing of reporting (open enrollment snapshots vs. full plan-year effectuated counts), definitions (APTC recipients vs. total Marketplace enrollees), and data provenance (CMS/HHS administrative feeds vs. analytic projections or state reports). One document is an Open Enrollment report emphasizing plan selections, another provides early 2024 tallies of APTC recipients by state, and a modeling study projects 2025 changes under enhanced credits [3] [2] [5]. When a source counts plan selections rather than APTC recipients, or uses a February 2024 snapshot vs. full-year 2023 effectuations, the ranking of states shifts—hence Florida appears dominant in APTC tallies while Texas or California lead in other measures.

4. Evaluating Reliability: Which Statements Best Answer the Original Question?

The original question asks specifically which state had the largest number of people receiving ACA premium tax credits in 2023 or 2024. The analyses that explicitly report state-level APTC recipient counts name Florida as the largest for both years with multi-million recipient counts [1] [2]. Reports that highlight Texas or California typically speak to total Marketplace enrollment or projections rather than explicit APTC recipient counts [3] [4] [5]. Therefore, based solely on the provided material and the exact wording of the question, Florida is the best-supported answer in these excerpts.

5. Bottom Line and Caveats Readers Should Know Before Drawing Conclusions

Florida is the leading state for APTC recipients in the supplied analyses, but this conclusion depends on using the specific APTC recipient metric and particular reporting snapshots; alternative metrics (total Marketplace enrollees) or different reporting windows can point to Texas or California as leaders [3] [4] [5]. Users seeking a definitive ranking should consult the original CMS/HHS state-level APTC tables and note the exact reporting date and whether counts are plan-selection snapshots or effectuated full-year counts, because small methodological differences materially change state rankings. The excerpts provided consistently favor Florida for APTC counts in 2023–2024, making it the most defensible answer within the available analyses [1] [2].

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