Overview
- The draft framework, described by multiple outlets, would temporarily extend enhanced Affordable Care Act tax credits for about two years to blunt projected premium spikes.
- Reported guardrails include restoring an income cap — cited at roughly 700% of the federal poverty level — and requiring a minimum monthly payment that would end $0-premium plans.
- The plan under discussion also features an incentive allowing enrollees who choose lower-cost exchange coverage to direct part of their subsidy into a health savings–style account.
- The White House stresses that nothing is final until President Trump announces it, and coverage notes parts of the proposal are in flux following pushback from conservative Republicans.
- The shutdown-ending deal commits Senate leaders to a mid-December vote on subsidies, and insurer shares rose Monday on reports of a potential extension as analysts warn premiums could more than double if aid lapses.