Health Affairs December 16, 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.
In a high-profile and long-awaited vote on December 11, 2025, the US Senate failed to extend the Affordable Care Act’s (ACA’s) (ePTC). Senate Democrats, joined by four Republicans, voted to extend the ePTC for three years. All but two of the Senate Republicans...
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