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Many Montanans Could Be Affected by Expiring ACA Subsidies

House Republicans remain split over extending ACA premium subsidies set to expire Dec. 31, with conservatives opposing and moderates citing electoral concerns, affecting 77,000 Montanans.

  • House Republicans plan to vote Wednesday on a conservative health care package that excludes extending enhanced subsidies, which expire on Dec. 31, but the measure is expected to fail amid GOP divisions after rival bills lost votes last week.
  • Inside Russ Vought's Office of Management and Budget, some favor letting subsidies expire, while pragmatic House Republicans cite their popularity and impact in swing districts.
  • In Montana, more than 77,000 residents used HealthCare.gov in 2025, with 69,000 receiving assistance and CMS reports average credits of $543 for 68,707 beneficiaries.
  • Many consumers could soon face higher bills if they keep their plans into 2026, as open enrollment remains available through Jan. 15, and insurers plan premium increases this year.
  • White House aides say President Trump is briefed on talks and is inclined to consider a one-year extension as advocates warn those earning more than four times the federal poverty level risk losing credits.
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Politico broke the news in on Tuesday, December 16, 2025.
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