Here & Now Anytime What's in GOP's health care plans?
Nov 12, 2025
Larry Levitt, a health policy expert, discusses the looming expiration of ACA subsidies and potential Republican alternatives to health care funding. He highlights how these changes could affect insurance premiums and the challenges around bipartisan negotiations. Bradley Udall sheds light on the ongoing struggles regarding Colorado River water agreements, emphasizing the impact of low reservoir levels and political stakes. Meanwhile, chef Kathy Gunst shares delicious seasonal stew recipes, including a quick Indian-spiced vegetable stew and a hearty slow-cooked pork dish.
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Expiring Subsidies Will Spike Premiums
- If enhanced ACA tax credits expire, open-enrollment enrollees will see premiums more than double starting Jan 1.
- Larry Levitt warns inaction causes big affordability shifts and strains mid-enrollment adjustments.
Income Caps Would Help Few Enrollees
- Capping subsidies for incomes over $200k would affect only a few hundred thousand to a million people.
- Levitt says such a cap would still preserve affordability for the vast majority of current subsidy recipients.
HSAs Can't Replace Insurance For The Sick
- Redirecting premium subsidies into government-funded HSAs risks leaving people uninsured when sick.
- Levitt cautions HSAs don't substitute for insurance coverage and could destabilize the ACA risk pool.