WSJ What’s News What’s Next in the Fight Over Healthcare Subsidies
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Dec 22, 2025 
Sabrina Siddiqui, a political reporter for The Wall Street Journal specializing in Congress and healthcare policy, delves into the current state of Affordable Care Act subsidies. She explains the potential consequences of Congress not renewing these subsidies, which could lead to increased healthcare premiums for millions. The discussion also touches on the political dynamics surrounding the issue, including the significant impact of Trump's position on the subsidy debate and the implications for both parties in the midterms.
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Subsidy Expiry Would Sharply Raise Premiums
- Enhanced ACA subsidies expiring would more than double average premiums for affected enrollees according to KFF estimates.
- That change could push millions to drop coverage or face unaffordable costs next year.
Sign Up Early To Avoid Coverage Gaps
- Enrollees can still sign up through the federal marketplace until January 15, though coverage may start later.
- Sign up sooner to reduce risk of a coverage gap if subsidy decisions aren’t resolved quickly.
A Real Person Facing A Big Premium Shock
- A Mississippi woman who used enhanced subsidies said her premium would jump from $126 to about $600 if subsidies expire.
- She canceled coverage because she can't afford the higher cost despite having recent medical needs.