One in three New Yorkers receives health care coverage through the state's marketplace, a key feature of the Affordable Care Act that enables people to purchase individual plans. 

All told, enrollment through the health care marketplace stands at 6.9 million, the state Department of Health reported. 

The state Department of Health reported the growth of enrollment compared to three years ago at the start of the COVID pandemic, when 4.9 million New Yorkers were enrolled. 

“NY State of Health’s Coverage Update demonstrates that the demand for quality, low-cost health insurance is strong and confirms that the Marketplace remains an essential outlet for New Yorkers who need coverage,” NY State of Health Executive Director Danielle Holahan said. “As eligibility reviews resume for all public health insurance programs, we are committed to making renewals for millions of New Yorkers across the state as seamless as possible and maximizing the number of consumers who retain coverage.”

The vast majority of these New Yorkers are members of the state's Medicaid program. As of January, there were 5.2 million people in New York in the Medicaid program receiving health care through the state's marketplace. 

Medicaid enrollment has changed significantly over the last three years as COVID pandemic aid from the federal government has receded. The program remains the costliest item in the budget and is the second-largest state Medicaid program in the country. 

There are roughly 1 million New Yorkers who do not have any health care coverage. 

State lawmakers and advocates this year have called for measures to extend Essential Plan coverage to undocumented adults in New York.