Politico November 16, 2025
The 20 state Affordable Care Act exchanges are prepared for a straightforward extension, but that appears doubtful.
The nation’s 20 state Obamacare exchanges appear poised to quickly update premiums if Congress passes a straightforward extension of enhanced subsidies when it votes on the matter next month.
But there’s another, increasingly likely scenario that could catch them flat-footed. That’s if lawmakers decide to go a different route – for example, by paying the subsidies directly to consumers, a plan touted by President Donald Trump, or changing the eligibility rules by adding an income cap, which many conservatives would like to see.
“If it is more complex, if they start to change the contribution amounts … that sends us back to the...
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