Overview
- Senate Democrats rejected a House stopgap that excluded an extension of enhanced Affordable Care Act premium tax credits, triggering the Oct. 1 shutdown.
- Republican leaders say Congress should reopen the government before negotiating on the subsidies, while some in the party signal openness to extending them.
- Democrats are also seeking to reverse Medicaid changes in the summer “mega-bill,” which the Congressional Budget Office projects would raise the uninsured by roughly 10 million over a decade.
- KFF estimates roughly 22–24 million marketplace customers would see premiums more than double in 2026 without the enhanced credits, as insurers have proposed median 2026 rate hikes near 18%.
- With open enrollment beginning Nov. 1, consumers are starting to receive premium notices and insurers are finalizing 2026 rates, heightening pressure for a swift resolution.