Becker's Healthcare December 11, 2025
Elizabeth Casolo

Neither bill proposing solutions to the impending ACA enhanced subsidy expiration survived a Dec. 11 Senate vote.

While Senate Democrats advocated for a three-year ACA tax credit extension, Republicans pitched an alternative focusing on health savings accounts. Both motions failed in separate 51-48 votes.

The subsidies are currently set to expire at the end of the year. Earlier this fall, the Senate passed a funding bill that excluded the subsidies. A Harvard CAPS-Harris Poll reported that most voters supported ending the government shutdown without them.

Insurers and hospitals share concerns over the possible post-subsidy landscape. Health system leaders said they anticipate more uncompensated care. Payer executives told Becker’s they also expect more people — particularly healthy individuals —...

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Topics: ACA (Affordable Care Act), Congress / White House, Govt Agencies, Insurance, Patient / Consumer, States
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