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Trump and Republicans Once More Face a Tough Political Fight Over Obamacare

Republicans debate extending or replacing subsidies for 24 million ACA marketplace consumers amid premium hikes and a Jan. 1 deadline before 2026 elections.

  • President Donald Trump is pressing to reshape marketplace subsidies rather than extend them unchanged, targeting former President Barack Obama's Affordable Care Act ahead of next year’s elections.
  • President Donald Trump has shifted from repeal to pursuing a reshaping strategy, scaling back full repeal and admitting during his White House campaign last year he had only broad ideas.
  • House Majority Leader Steve Scalise says Republicans are drafting bills to lower costs, while Vince Haley and Heidi Overton from the White House Domestic Policy Council have held talks with industry leaders and lawmakers.
  • Congress faces a deadline that could affect 24 million people covered through exchanges, with no guarantee they will succeed before the 2026 elections could shift control.
  • Experts framed the dispute as part of a broader partisan war, with Jonathan Oberlander saying `This is one front in a broader partisan war in American politics` and Tevi Troy adding `Republicans have been scared about talking about the issue`.
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ramaonhealthcare.com broke the news in on Sunday, November 23, 2025.
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