Overview
- The evolving draft would cap eligibility at 700% of the federal poverty level and end zero-premium plans by requiring all enrollees to pay at least a small premium, such as 2% of income or $5 a month.
- The framework explores allowing some assistance to flow directly to consumers through Health Savings Accounts or direct payments, with related proposals from Sens. Rick Scott and Bill Cassidy.
- The White House says no plan is final until President Trump announces it, though aides say he is closely engaged in the talks.
- Senate Republicans have agreed to hold a mid-December vote on an extension as part of government funding negotiations.
- KFF projects consumer premiums would more than double next year without action, and the Congressional Budget Office estimates about 2 million more people would be uninsured in 2026 if the subsidies lapse.