US EditionThe government shutdown has ended. What this could mean for the future of the ACA
The 43-day shutdown ended without extending enhanced ACA premium tax credits, risking higher premiums and disenrollment for millions if subsidies expire at year-end.
- After the longest federal government shutdown in history, Democrats and Republicans agreed on a spending bill but left enhanced ACA premium tax credits unresolved.
- Speaker of the House Mike Johnson, R-La., asked, `'Am I going to guarantee a vote on ACA unreformed COVID-era subsidies that is just a boondoggle to insurance companies and robs the taxpayer? We got a lot of work to do on that,' on Wednesday.
- If the subsidies expire, health policy experts warned people enrolled in ACA marketplace plans could drop coverage, raising premiums and causing hospitals, health centers and doctors' offices to face revenue losses.
- Senate Majority Leader John Thune, R-S.D., said there will be a floor vote later this year on extending the enhanced premium tax credits set to expire at year-end.
- Experts warned that cash or FSAs, suggested by President Donald Trump and Sen. Bill Cassidy, R-La.,, would not replicate insurance pooling, which lowers costs, as Sparer explained.
7 Articles
7 Articles
Here's everything Senate Republicans accomplished while Democrats forced record-breaking shutdown
While Democrats forced the longest government shutdown in American history, Senate Republicans continued to implement President Donald Trump's agenda. Democrats initially shut down the government for a record-breaking 43 days in an attempt to force Republicans to negotiate on Affordable Care Act subsidies that are set to expire at the end of the year. Over 40 days into the shutdown, eight Senate Democrats eventually caved and voted with Republic…
Florida Healthcare Organizations Face Coverage Uncertainty After Government Shutdown Ends
The 43-day federal government shutdown ended on November 12, 2025, but Florida’s healthcare sector still faces major questions. The shutdown concluded without extending enhanced Affordable Care Act subsidies, which expire on December 31, 2025. Florida has 4.7 million people enrolled in ACA marketplace plans in 2025, more than any other state. About 97% of enrollees receive a discount that lowers their plan costs. Why Florida Faces Greater Impact…
Beyond the Shutdown: Causes, Consequences, and What Comes Next
A government shutdown occurs when Congress and the president fail to agree on appropriation bills by the deadline. An appropriation bill is a law that gives the government permission to spend money on specific programs and agencies. This process distributes funding from the U.S. Treasury for the duration of the Fiscal Year, allowing agencies to afford their responsibilities and make payments. The Fiscal year occurs from October 1 to September 30…
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