With enhanced Affordable Care Act premium subsidies set to expire at the end of 2025, a change analysts say would trigger steep premium hikes for many marketplace enrollees, several House Republicans are pressing to extend the tax credits.

Why It Matters

Premium tax credits established by the ACA and expanded during the COVID-19 pandemic are set to expire at the end of the year without Congressional action . The subsidies have been at the heart of several political fights, including the government’s 43-day shutdown earlier this Fall.

About 24 million Americans rely on the tax credit for health care. If the credit expires, enrollees could lose the subsidy completely or only qualify for a smaller tax credit.

Health care is likely to be a major political issue in the 2026 midterm ele

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