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What Happens if Obamacare Subsidies Expire?

By Eric October 30, 2025

As the 2026 enrollment period for Affordable Care Act (A.C.A.) health coverage approaches, consumers are bracing for potentially increased costs in their premiums. The ongoing debate in Congress over the extension of subsidies, which have been instrumental in helping millions afford health insurance, is at the center of this looming financial concern. These subsidies, initially enhanced by the American Rescue Plan Act during the COVID-19 pandemic, are set to expire soon, and without their continuation, many individuals and families could see their premium costs rise significantly. Margot Sanger-Katz, a health care policy reporter for The New York Times, highlights the critical nature of this issue, emphasizing how the fate of these subsidies is intertwined with broader discussions about health care reform and budgetary priorities in Washington.

The potential expiration of these subsidies could lead to drastic changes in the health insurance landscape. For instance, millions of Americans who currently benefit from reduced premium costs could find themselves facing monthly payments that are unaffordable, leading to decreased access to necessary health services. The subsidies have played a crucial role in expanding coverage, especially for low- to middle-income individuals who might otherwise forgo insurance due to high costs. Sanger-Katz notes that the situation is particularly precarious for those living in states that have not expanded Medicaid under the A.C.A., as these individuals rely heavily on marketplace plans and the financial assistance they provide.

As Congress deliberates on this matter, the implications of their decisions will resonate beyond just premium costs. If subsidies are not extended, it could result in a significant drop in enrollment numbers, further destabilizing the insurance marketplaces and potentially leading to higher premiums for those who remain insured. This situation presents a critical moment for lawmakers to consider the broader impact of their decisions on public health and financial security for millions of Americans. With the stakes so high, the outcome of these discussions will not only shape the future of the A.C.A. but also influence the overall trajectory of health care policy in the United States. As consumers await clarity on this issue, the urgency for a resolution grows, underscoring the importance of accessible and affordable health coverage for all.

Related articles:
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Consumers are facing greater costs for their 2026 A.C.A. health coverage as Congress continues to debate whether to extend subsidies that help people afford their premiums. Margot Sanger-Katz, a health care policy reporter for The New York Times, explains why.

E

Eric

Eric is a seasoned journalist covering Health news.

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