Up First from NPR Healthcare Subsides Expire, Trump and Minnesota, Mamdani Takes Office In NYC
105 snips
Jan 1, 2026 
Health reporter Sarah Bowden highlights the abrupt end of pandemic-era ACA subsidies, discussing the impending costs that millions will face. She also explores the possibility of Congress restoring these subsidies amidst political gridlock. Meanwhile, Clay Masters reveals the freezing of child care funding in Minnesota due to unfounded fraud claims against Somali-run centers, affecting thousands of families. Lastly, the newly sworn-in NYC Mayor, Zohran Mamdani, is introduced as a progressive leader, ready to change the political landscape.
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Subsidy Expiration Doubles Many Premiums
- The pandemic-era ACA subsidies expired overnight, doubling average marketplace premiums for many people in 2026.
- Experts warn sticker shock may push an estimated 4.8 million people to drop coverage.
Political Hurdles Could Block Quick Fixes
- Congressional negotiation could restore subsidies retroactively, but Republicans demand concessions like HSAs or abortion restrictions.
- Even if the House agreed, the Senate would be a tougher hurdle for any compromise.
Act Quickly Before Enrollment Deadlines
- If premiums are unaffordable, check your current marketplace plan and compare other options before the January 15 deadline in most states.
- Consider lower-premium plans with higher deductibles if you are healthy and rarely use care.