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.

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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After the Senate failed to advance rival plans to address expiring enhanced Affordable Care Act subsidies, House Republicans released their own proposal that does not extend the tax credits, instead emphasizing small-business insurance pooling, new rules for pharmacy benefit managers and future cost-sharing aid for low-income enrollees — drawing swift partisan criticism as year-end premium hikes loom.

Rising Obamacare premiums have put Democrats on the defensive, while a White House memo highlights potential $200 billion costs for providing healthcare to illegal immigrants under their plans. Political figures like JD Vance are citing evidence to challenge these policies amid ongoing debates.

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Health insurers are proposing an average 5.1% increase in premiums for Affordable Care Act marketplace plans next year. This hike, driven by inflation and rising medical costs, would affect about 21 million enrollees. A potential government shutdown is unlikely to alter these rates significantly.

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