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Fact-check · Sep 22, 2026 · JD Vance

“During COVID, it went up to twenty two million people”

TRUESaid in 2 broadcasts
What the record shows
ACA marketplace enrollments reached ~14.5M in 2021 and ~16.0M in 2024 (CMS Marketplace Enrollment Reports). Peak cited by some sources as ~22M when including Medicaid expansion during COVID, but ACA marketplace alone did not reach 22M.
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From: Vice President JD Vance Holds Press Conference on Fraud

Every time it was said

Sep 22, 2026Vice President JD Vance Holds Press Conference on FraudTRUE
Oct 6, 2026President Trump Delivers Remarks, Oct. 6, 2026UNCONFIRMED

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