When the state of Minnesota announced last fall that monthly premiums on MNsure, the state’s healthcare exchange borne out of the Affordable Care Act, would skyrocket 57%, state officials and healthcare advocates warned that an untold number of Minnesotans could no longer afford their insurance. At a board meeting last week, MNsure officials released the toll so far: There were 125,714 effectuated enrollments as of May, a 12% decline compared to May 2025, when there were 142,977 such enrollees.