Politico November 17, 2025
Sophie Gardner, Kelly Hooper

With Amanda Chu

Driving the Day

STATES IN LIMBO — States could be left flat-footed if Congress, instead of passing a simple extension to the Affordable Care Act’s enhanced premium tax credits, extends them with changes or passes new legislation intended to lower premiums, POLITICO’s Robert King reports.

“If it is more complex, if they start to change the contribution amounts … that sends us back to the drawing board,” said Lindsay Lang, director of HealthSource RI, Rhode Island’s ACA exchange. “That would add time and complexity.”

As part of a deal to reopen the government earlier this week, the Senate will vote on a subsidy extension by mid-December. The nation’s 20 state-run Obamacare exchanges appear poised to quickly update...

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