AP Photo/Marc Levy

Lynn Weidner, a home care worker who worries that the cost of her health insurance plan in the Affordable Care Act marketplace will rise, poses in front of her home, Thursday, Dec. 4, 2025, in Allentown, Pa.

Republicans in key battleground U.S. House districts are working to contain the political fallout that may come when thousands of their constituents face higher bills for health insurance coverage obtained through the Affordable Care Act.

For a critical sliver of the Republican majority, the impending expiration of what are called enhanced premium tax credits after Dec. 31 is a pressing concern as they potentially face headwinds in a 2026 midterm election that will be critical to President Donald Trump’s agenda.

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