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Iowa lost 498 county-plan filings for 2026

Reported from CMS public files, contract year 2026 · October 01, 2026

Measure: county-plan filings, individual MA. 2025: 3,400. 2026: 2,902 (-498). $0-premium filings: 2,044 → 1,389. See the Iowa county table for where the change landed. Source: CMS files listed in the source ledger; site build October 01, 2026.