Overview

• With the Sept. 30 funding deadline approaching, Democratic leaders insist the enhanced credits be included in a short‑term spending measure, while Republican leaders argue the issue should be handled in later talks.
• An Urban Institute and Robert Wood Johnson Foundation analysis estimates providers would lose about $32.1 billion in revenue in 2026 and incur $7.7 billion more in uncompensated care if the credits lapse.
• KFF projects average out‑of‑pocket premiums would rise by roughly 75% for subsidized enrollees, and insurer filings already add about four percentage points to 2026 rates to account for a sicker risk pool.
• State warnings are mounting, with Pennsylvania’s Pennie saying up to 150,000 people could drop coverage and Texas hospital leaders cautioning that residents face steep increases and potential losses of insurance.
• Political pressure is escalating as 35 conservative groups urge Trump to let the COVID‑era credits end, and marketplaces press Congress to act before Nov. 1 open enrollment to avoid automatic reenrollment into much costlier plans.