Overview
- President Donald Trump signed the funding bill after the House passed it 222–209, ending the record shutdown without renewing enhanced marketplace tax credits.
- Roughly 22 million subsidized enrollees now face immediate uncertainty during open enrollment as the expanded credits are set to lapse on December 31, 2025.
- KFF estimates average out-of-pocket premiums could jump from $888 in 2025 to $1,904 in 2026 if the credits expire, and CBO projects about 4 million could drop coverage.
- Senate Republicans agreed to hold a mid-December vote on a Democratic extension, while House Majority Leader Steve Scalise declined to commit to bringing a similar measure to the floor.
- Republicans are pushing conditions such as income caps, reduced subsidies, and stricter abortion-related restrictions, with some proposing alternatives like direct payments or Health Savings Accounts, while Democrats seek a clean extension and are grappling with internal divisions over the shutdown deal.