Republicans Face Deadline to Overhaul Health Insurance as ACA Subsidies Near Expiration
The expiration of pandemic-era Affordable Care Act subsidies looms, threatening to trigger a sharp rise in health insurance premiums by 2026. Millions could face higher costs or loss of coverage unless Congress acts. Republicans are under pressure to deliver on long-promised reforms, with competing proposals ranging from subsidy extensions to Health Savings Account-based alternatives.
President Trump's decade-old pledge to replace the ACA now faces a hard deadline. The upcoming enrollment period—running through January 15—coincides with the subsidy expiration date, creating urgent financial stakes for 24 million Americans. This debate already fueled one government shutdown and risks another if no resolution is reached by January 30.