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? Mapped: Obamacare enrollment surged in red states Data: Centers for Medicare & Medicaid Services; Map: Axios Visuals Texas enrollment in the Affordable Care Act marketplaces increased by more than 1 million to 3.5 million this year. Driving the news: A record 21.3 million people signed up for Obamacare this year, with the largest enrollment increases tallied in red states, according to enrollment figures released by federal health officials last week. The 30.7% annual increase in ACA sign-ups comes as former President Trump's renewed calls for repeal have again raised doubts about the law's future, writes Axios' Jason Millman. Zoom in: Some of the enrollment surge can likely be attributed to a portion of the millions who've recently lost Medicaid coverage moving to the marketplaces. About 1.8 million Texans lost their health insurance since the state started removing people from Medicaid as federal pandemic rules ended, per KFF. About 68% of those removals were for clerical reasons. By the numbers: States with the largest year-over-year increase in sign-ups include West Virginia (80.2%), Louisiana (75.9%), Ohio (62.2%), Indiana (59.6%) and Tennessee (59.5%), according to data from the Centers for Medicare and Medicaid Services, which oversees the marketplaces. Texas is among the seven other states that had increases of 45% or more.