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Republicans grapple with voter frustration over rising health care premiums

The federal government shutdown worsens as pandemic-era Affordable Care Act subsidies near expiration, risking an 18% median premium increase, insurers and officials warn.

  • On Nov. 1, notices of premium spikes arrived as Affordable Care Act open enrollment began and Democrats pressed Republicans amid the government shutdown now in its fourth week.
  • Conservative groups urged Republicans not to extend COVID-era subsidies, while Republican leaders say they won’t negotiate credits until the U.S. Democratic Party ends the shutdown.
  • More than 24 million people are enrolled in marketplace plans, and the Congressional Budget Office projects a 3.8 million increase in insured people by 2035 if credits continue.
  • As town halls fill with frustrated voters, the issue gains political strength heading into next year's midterms, while about 4 in 10 U.S. adults trust Democrats more on health care, an AP-NORC poll found.
  • Republicans remain divided about how to proceed, and a Congressional Budget Office analysis estimated permanently extending tax credits would increase the deficit; a broader overhaul would be difficult before next year.
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kffhealthnews.org broke the news in on Saturday, October 25, 2025.
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