Politico December 24, 2025
Robert King

While sign-ups are above 2024, some states are concerned about higher terminations, fewer new enrollees and more consumer calls for help. If Congress fails again to extend enhanced subsidies in January, they say enrollment could drop.

Officials with state Obamacare exchanges have been concerned that enrollments will fall off a cliff with the Dec. 31 expiration of enhanced subsidies that make insurance more affordable.

Not yet.

So far, overall sign-ups have increased in some places, but health officials say those initial figures don’t necessarily mean consumers are happy.

Some are choosing plans with lower premiums and higher out-of-pocket costs or terminating coverage altogether at a faster rate than in prior years, according to several state-run Obamacare exchanges. New enrollments are...

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