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Senate stares down fraught health care battle with ObamaCare subsidies set to expire

Millions face rising health insurance costs as Affordable Care Act subsidies expire Dec. 31, with South Carolina among the hardest hit where 97% benefited from aid last year.

  • On Dec. 31, premium subsidies expire for Marketplace plans, and with bills for Jan. 1 coverage mailed, Congress won’t vote on the issue until after the holiday.
  • House Republicans passed a Dec. 17 bill to lower premiums and increase pharmacy pricing transparency but did not extend subsidies, with Republican lawmakers citing fiscal cost and fraud concerns.
  • Facing sticker shock, Spartanburg resident Irene Benson will see her premium rise from $27 to $307, while only 126,000 have re-enrolled so far, indicating ongoing cost concerns.
  • Hospitals and clinics are preparing for a surge in uninsured patients as insurance companies and Thornton Kirby warn they can’t revert to prior operations, and St. Luke's Free Medical Clinic, Spartanburg sees rising eligibility calls.
  • Critics warn that new restrictions could push up to 1 million people off coverage, with South Carolina—where 97 percent of 630,000 received subsidies last year—and 79,000 in Benson’s district facing higher costs.
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The Hill broke the news in Washington, United States on Sunday, December 21, 2025.
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