Becker's Healthcare January 13, 2026
Jakob Emerson

ACA marketplace enrollment is declining nationally and Congress is struggling to extend the expired subsidies.

Five updates on enhanced ACA subsidies:

1. President Donald Trump said Jan. 11 he might veto a bill to extend the subsidies, Bloomberg reported. The House voted Jan. 8 to extend the subsidies for three years, but the measure is not expected to pass in the Senate. A bipartisan group of senators is instead advancing a narrower two-year proposal that would include income limits, minimum monthly premiums and additional guardrails around enrollment. Legislative text could be finalized as soon as this week, but no immediate relief is guaranteed for providers planning for 2026.

2. ACA marketplace enrollment dropped to 22.8 million for 2026, down 3.4%...

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