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Government Shuts Down Over Stalemate on ACA Subsidy Extension

Democrats rejected a stopgap without the enhanced credits, citing KFF warnings of a 114% jump in average out-of-pocket premiums next year for current recipients.

Overview

  • Senate Democrats voted down a House stopgap funding bill that omitted an extension of pandemic-era Affordable Care Act premium tax credits.
  • Republican leaders said they will negotiate on the subsidies after the government reopens, while Democrats insist the issue be addressed in the funding measure.
  • KFF estimates subsidized enrollees would see average annual premiums rise from about $888 to roughly $1,906 in 2026 if the enhancements expire, with insurers also seeking a median 18% rate increase.
  • Democrats are also pushing to roll back Medicaid cuts from Republicans’ summer legislation, as the CBO projects about 10 million more uninsured over the next decade under those policies.
  • Pressure is intensifying with ACA open enrollment beginning Nov. 1 and insurers and states preparing notices that signal higher costs and potential coverage disruptions.