KFF Health News December 12, 2025
We’ve been here before: congressional Democrats and Republicans sparring over the future of the Affordable Care Act.
But this time there’s an extra complication. Though it’s the middle of open enrollment, lawmakers are still debating whether to extend the subsidies that have given consumers extra help paying their health insurance premiums in recent years.
The circumstances have led to deep consumer concerns about higher costs and fears of political fallout among some Republican lawmakers. For those caught in the middle — including consumers and leaders of the 20 states, along with the District of Columbia, that run their own ACA marketplaces — the lack of action on Capitol Hill has led to uncertainty about what to do.
“Before I sign...
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