Politico December 19, 2025
Ali Bianco and Rachel Umansky-Castro

ONCE MORE UNTO THE BREACH: As members of Congress exit the beltway today for the holiday recess, with them goes any prospect for a preemptive extension of the much-debated Affordable Care Act subsidies — now set to expire on Dec. 31 and skyrocket premiums for millions of Americans in 2026.

The potentially soaring costs are coming at a crucial time for President Donald Trump, who will continue his swing-state affordability tour with a speech in Rocky Mount, North Carolina at 9 p.m. tonight. But before then, Trump has his own plans related to health care.

Happening now: Trump is set to announce the administration’s latest drug pricing deals with top pharmaceutical companies to reduce costs, laying bare his administration’s health...

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