AXIOS November 24, 2025
President Trump as soon as this week is due to outline a new initiative that calls for a short-term extension of Affordable Care Act subsidies in exchange for new eligibility limits and other changes.
Why it matters: Mounting concern about medical costs and the looming expiration of enhanced ACA tax credits could amp up affordability concerns and give Democrats a potent weapon heading into an election year.
- Democrats made ACA financial assistance a centerpiece of the recent government shutdown fight.
What we’re hearing: Trump plans to propose a framework that would address spiking premiums by extending for two years the enhanced ACA tax credits, which are due to expire at the end of the year, according to...







