KFF Health News November 6, 2025
Open enrollment for health plans under the Affordable Care Act began Nov. 1, yet it remains unclear how much the estimated 24 million Americans who purchase from the ACA marketplaces will be expected to pay in premiums starting in January. Unless Congress acts to extend tax credits added to the program in 2021, most consumers will be expected to contribute much more out-of-pocket; in some cases, double or triple what they are paying in 2025.
The politics of this year’s ACA fight are also complicated. Democrats are using the only leverage they have — a government shutdown — to try to force Republicans to negotiate over the expiring ACA tax credits. Yet many, if not most, of the people...
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