What’s Happening

The U.S. government has shut down due to failure of Congress to pass a funding bill. Central issues: ACA subsidy cuts and rising Medicaid strain.

Why It Matters

At stake: Enhanced premium tax credits under ACA that help 22 million people get affordable health coverage. Without them, costs could double.

Premium Hikes

If ACA enhanced subsidies expire end-of-2025, marketplace health plan premiums may increase by more than 100%, per KFF analysis.

Medicaid Cuts

A recent spending bill includes over $1 trillion in proposed Medicaid cuts over the next decade. New work requirements and funding shifts could make access harder for low-income Americans.

Who’s Affected

Low- & middle-income families, people relying on ACA marketplace plans, states with non-expanded Medicaid will feel impact most. Premium tax credit loss = big risk.

Annual Costs

Average ACA marketplace subscriber currently pays ~$888/year. Without subsidies, that could rise to ~$1,900/year in 2026.

Why It Escalated

Republican leadership wants funding without ACA subsidy extension. Democrats demand subsidies stay & Medicaid cuts reversed. Federal shutdown triggered. :contentReference[oaicite:6]{index=6}

What Could Happen

Loss of coverage for millions, surging out-of-pocket costs, insurers dropping out of exchanges. Many may simply go without insurance. :contentReference[oaicite:7]{index=7}

Possible Fixes

Congress could extend the premium tax credits, reverse Medicaid cuts, or pass emergency funding that protects healthcare subsidies. Deadlines loom. :contentReference[oaicite:8]{index=8}

What You Can Do

If you buy ACA insurance: check your plan notices, explore state assistance, budget for higher premiums, contact local reps. Stay informed before Jan 2026. (End)