Health Affairs December 9, 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.
This month, Congress is expected to vote on whether to extend the enhanced premium tax credit (PTC) individuals and families receive when they enroll in coverage through the Affordable Care Act (ACA) marketplaces (also called Exchanges). Marketplace enrollees generally receive PTC as an...







