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The Senate is scheduled to vote next week on a bill addressing the enhanced Affordable Care Act (ACA) subsidies expiring at the end of the year, as promised as part of the deal to end the government shutdown last month.
- But: It is still unclear what proposals will be voted on and what the result will be for the subsidies.
- Reminder: These tax credits help bring down the premium costs for enrollees in ACA Marketplace plans.
The details:
- The White House floated a health policy framework last week that included a two-year extension of the ACA subsidies and new limits on eligibility.
- But after pushback from Republicans, who were caught off guard by the proposal, the White House delayed the release of the plan.
- President Trump has sent mixed signals about how he wants to address the issue, leaving members of Congress in limbo as they pursue various proposals.
What’s coming: There are several scenarios for how the fight plays out, including that the subsidies expire on Dec. 31 with no deal passing; a deal is made in January, ahead of the next government funding deadline; or a last-minute extension is still reached this month.
Published
December 2025