Health Affairs November 24, 2025
Editor’s Note
This article is the latest in the Health Affairs Forefront featured topic, “Health Policy at a Crossroads,” produced with the support of the Commonwealth Fund and the Robert Wood Johnson Foundation. Articles in this topic offer timely analyses of regulatory, legislative, and judicial developments in health policy under the Trump-Vance administration and the 119th Congress. Health Affairs Forefront alone reviews all submissions then selects, edits, and publishes them only if they meet Forefront’s editorial standards.
Following the longest government shutdown in history, Congress remains at an impasse over whether to extend enhanced premium tax credits under the Affordable Care Act (ACA). With the 2026 open enrollment period now in full swing, millions of marketplace enrollees—from entrepreneurs and small...
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