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White House Drafts Two-Year ACA Subsidy Extension With Guardrails as Rollout Is Delayed

Republican backlash stalled a planned unveiling, leaving a December Senate vote as the next test for averting large premium increases.

Overview

  • A circulating White House draft would keep enhanced Affordable Care Act tax credits for two years, cap eligibility at 700% of the federal poverty level, and require enrollees to pay a minimum premium.
  • Officials postponed Monday’s expected announcement after swift pushback from Republican lawmakers and allies, and the White House says no plan is final until President Trump announces it.
  • Senate leaders have committed to a mid-December vote on the expiring subsidies, a deadline set after the shutdown deal and now central to preventing price shocks.
  • Roughly 22 million people benefit from the enhanced credits, and KFF estimates many could see premiums more than double if the subsidies lapse at year’s end.
  • Draft details shared with aides include conservative elements such as allowing some aid to flow into health savings accounts, expanding non-exchange plans, and restricting use of federal funds for certain services.