Becker's Healthcare November 25, 2025
Francesca Mathewes

Several federal updates announced in the last week have significant implications for the ASC industry:

1. President Donald Trump postponed a planned announcement to extend enhanced ACA subsidies Nov. 24. He was previously expected to present a proposal that would extend the subsidies for two years while introducing new eligibility restrictions.

2. The proposal would also establish an income cap limiting subsidies to individuals earning up to 700% of the federal poverty line. All enrollees would be required to make minimum premium payments. The proposal also includes a health savings account component, in which enrollees who switch to lower-premium marketplace plans could direct the difference in premium costs into a tax-advantaged savings account funded with their subsidy dollars.

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