"As part of the deal that led a crucial number of Democrats to support an end to the recent government shutdown, the Senate will hold some sort of vote next week on some sort of plan to address the rapidly approaching year-end expiration of increased Obamacare premium subsidies enacted in 2021. Both premiums and out-of-pocket health-care costs will skyrocket for up to 24 million Americans if nothing happens by December 31."
"There is a small segment of politically vulnerable congressional Republicans who would just as soon extend the subsidies for a year or two and move on. But the bulk of the GOP, particularly in the fever swamps of the U.S. House, despise anything remotely connected to Obamacare like sin itself. So throughout the debate over the subsidies, it's been assumed by everyone that any deal on the subsidies would have to be brokered by Donald Trump and then imposed on the House Freedom Caucus types"
A year-end expiration of enhanced Obamacare premium subsidies enacted in 2021 threatens to raise premiums and out-of-pocket costs for up to 24 million Americans if Congress does not act by December 31. The sharpest impacts will occur in states that declined Medicaid expansion, increasing reliance on marketplace plans. A Senate vote is planned as part of the shutdown deal, but House Republicans remain divided: a small group favors temporary extensions while the broader GOP opposes measures tied to Obamacare. Donald Trump is expected to broker any compromise, and inaction could become a major Republican liability in 2026.
Read at Intelligencer
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