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9h ago

Shutdown Standoff Puts ACA Subsidies in the Spotlight as Poll Finds Broad Support for Extension

Without action, premiums for marketplace enrollees are projected to more than double next year.

House Minority Leader Hakeem Jeffries, D-N.Y., center, flanked by Rep. Pete Aguilar, D-Calif., left, and Rep. Katherine Clark, D-Mass., arrives to speak on the steps of the Capitol to insist that Republicans include an extension of expiring health care benefits as part of a government funding compromise, in Washington, Tuesday, Sept. 30, 2025. (AP Photo/J. Scott Applewhite)
House Democrats prepare to speak on the steps of the Capitol to insist that Republicans include an extension of expiring health care benefits as part of a government funding compromise, in Washington, Tuesday, Sept. 30, 2025. (AP Photo/J. Scott Applewhite)
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Speaker of the House Mike Johnson, R-La., and GOP leaders, from left, Rep. Lisa McClain, R-Mich., Majority Leader Steve Scalise, R-La., and Majority Whip Tom Emmer, R-Minn., blame the government shutdown on Democrats during a news conference at the Capitol in Washington, Thursday, Oct. 2, 2025. (AP Photo/J. Scott Applewhite)

Overview

  • The government remains closed after Democrats refused a short-term funding bill unless it extends enhanced Affordable Care Act tax credits and reverses recent Medicaid cuts.
  • A new KFF poll shows 78% of Americans want the expiring subsidies extended, including 59% of Republicans and 57% of MAGA supporters, though most people say they know little about the pending lapse.
  • Analyses project average annual premiums for subsidized enrollees could jump 114% to about $1,904 if the credits expire, with roughly 24 million affected and millions at risk of losing coverage, while extending them is estimated to cost about $350 billion over a decade.
  • Republican leaders say policy talks should resume after reopening the government, as reports indicate some Trump advisers privately fear political fallout and are weighing proposals to continue the subsidies.
  • Independent experts and reporters dispute GOP and White House claims that Democrats are pushing health benefits for undocumented immigrants, noting federal law bars undocumented people from ACA subsidies and Medicaid.