CNBC November 24, 2025
Bertha Coombs

Key Points

– Republicans are proposing direct Health Savings Account payments to ACA enrollees rather than extending enhanced premium tax credits.

– Congress faces a short window to extend the subsidies before year-end.

– The majority of ACA enrollees must sign up by Dec. 15 for 2026 coverage or risk being shut out of the market.

– For middle-class enrollees without enhanced tax credits, even high-deductible Bronze level plans could be out of reach in some markets.

With enhanced Obamacare tax credits set to expire at the end of the year, Republicans are proposing new alternatives aimed at lowering the cost of health care.

Their window for doing so is rapidly closing — and leaving middle-class Americans uncertain in the...

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Topics: ACA (Affordable Care Act), Congress / White House, Govt Agencies, Insurance, Patient / Consumer
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