Affordable Care Act

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House chamber scene: Speaker Mike Johnson advances ACA cost measures without subsidies, as bipartisan group pushes for extensions.
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House advances ACA cost measures without subsidy extension as bipartisan push for credits continues

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With enhanced Affordable Care Act subsidies set to expire at the end of this year, House Speaker Mike Johnson is moving ahead with a Republican plan to address rising health costs without extending the credits. At the same time, bipartisan efforts in the House aim to force a vote on temporarily continuing the subsidies.

Five million people who signed up for Affordable Care Act health plans for 2026 have since dropped coverage by either disenrolling or failing to pay premiums. The drop follows sharp premium increases after enhanced federal subsidies expired.

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With enrollment deadlines approaching for new health insurance plans, Republicans remain divided over how to handle expiring Affordable Care Act subsidies, even as President Trump continues to promise a better replacement plan.

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