Overview
- Roughly 21.8–22 million marketplace enrollees benefited from the enhanced credits, with premiums projected to double or triple without them and the CBO warning about 4 million more uninsured.
- Senate Republicans blocked a clean extension and the House advanced a GOP plan without subsidies, while four House Republicans joined Democrats on a discharge petition that compels a vote the week of Jan. 5.
- Consumers must navigate price changes as ACA open enrollment closes Jan. 15, and short-term government funding runs only through Jan. 30 as leaders signal they will not link subsidies to spending.
- Analysts say the steepest hikes are expected in markets with limited competition and older, rural populations, with KFF data showing many of the hardest-hit states supported Donald Trump, including Wyoming and West Virginia.
- Florida faces outsized exposure with about 4.7 million exchange enrollees, and local estimates warn up to a third could lose coverage as those who remain could pay more than $500 more per month on average.