This paper was originally published in July 2024 to present Wakely’s study on how emerging Medicaid redeterminations (data through April 2024) impacted the health of the individual market in 2024. This updated version utilizes revised market-level enrollment and morbidity trends for data through December 2024. The updated metrics continue to support the preliminary results published in July 2024, offering full-year insights to supplement the intra-year observations discussed in the original publication.