Overview

• Enhanced Affordable Care Act premium tax credits are scheduled to end on December 31, 2025 unless Congress passes an extension.
• House Minority Leader Hakeem Jeffries dismissed a GOP-backed one-year extension effort, as Rep. Jen Kiggans promoted a bill to continue the enhanced credits through 2026.
• Democrats have made renewal of the subsidies a core demand in funding negotiations, while President Trump said he is willing to discuss health policy once the government is reopened.
• The Congressional Budget Office projects roughly 2 million more people would be uninsured next year without the subsidies and 3.8 million over ten years.
• WTMJ reports that open enrollment begins November 1 and that stakeholders warn of steep premium increases and potential coverage losses, with one advocate forecasting sharp out-of-pocket spikes and widespread 'sticker shock' for the 24 million people using ACA coverage.