AJMC October 1, 2025
Key Takeaways
- The government shutdown highlights partisan divisions over health care funding, with Democrats pushing for ACA subsidy extensions and Republicans seeking a separate policy debate.
- Telehealth and home care services face potential disruptions, impacting rural and mobility-limited patients, with possible shifts back to in-person visits.
- Ambulance services may experience reduced reimbursements, affecting service capacity and emergency response, particularly in rural areas.
- Insurance premiums could rise significantly if ACA subsidy extensions lapse, affecting millions of exchange participants and increasing costs for employers and employees.
The US government shutdown could lead to telehealth, ambulance payment, and insurance cost disruptions.
When the US federal government shut down on Wednesday, October 1, health care providers and patients assessed what could happen...







