Almost 2 million individuals are enrolled in Lined California, the state’s model of the federal Affected person Safety and Inexpensive Care Act medical insurance, also called Obamacare after the previous president who authorised this system in 2010.
That features greater than 360,000 enrollees within the Bay Space.
They may very well be impacted by the foremost coverage invoice that President Trump has urged Republican lawmakers to approve. The Congressional Price range Workplace reported Wednesday that shorter enrollment intervals, method changes and paperwork necessities and different modifications collectively would end in tens of millions extra individuals uninsured by 2034 over earlier projections.
Between 2021 and 2025, the overall variety of medical insurance enrollments in California elevated from roughly 1.63 million to just about 1.98 million, pushed by regular progress in each new enrollments and renewals, with new enrollment rising by 39% and renewals growing by 19% over the five-year interval.
Since 2021, the nine-county Bay Space has seen regular progress in Lined California enrollments by new enrollment and renewals, with complete sign-ups growing throughout most counties. Total enrollment within the area rose by 5.9%, from 340,550 to 360,680.
Alameda County constantly led the area, reaching greater than 82,600 complete enrollments in 2025, up from 72,050 in 2022. Santa Clara County adopted carefully, with probably the most important general progress within the area — a rise of 15.5%, from 67,840 to over 80,700 enrollees.
New enrollment rose notably all through the area. Santa Clara County’s new enrollments elevated from 9,860 in 2022 to fifteen,320 in 2025, whereas Alameda noticed a leap from 10,450 to 14,330. Smaller counties like Marin and Napa additionally skilled regular positive aspects.
Renewals remained the first driver of complete enrollment, accounting for many sign-ups in every county. Alameda, Contra Costa, and Santa Clara counties recorded the very best renewal counts, with Santa Clara rising from 56,940 in 2022 to 65,390 in 2025.
Whereas most counties skilled progress, starting from 2.8% in Contra Costa to 14.6% in San Mateo, Solano County was the one one to see a slight decline in complete enrollment, dropping by 0.6% over the identical interval.
