Marketplace All-in-One Are we on the cusp of another big health care debate?
Nov 18, 2025
Julie Rovner, Chief Washington correspondent for KFF Health News, dives deep into the ongoing battles over the Affordable Care Act. She discusses the history and remaining provisions of the ACA, the potential impacts of subsidy changes from the government shutdown, and how these could lead to a new national debate on healthcare. Julie also covers practical tips for enrollees facing rising costs and explores the implications of Medicaid cuts on access to care, making sense of a complex and evolving landscape.
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ACA's Core Has Persisted
- The ACA survived major battles but remains largely intact after 15 years of attacks.
- It cut the uninsured rate from about 17% to 8% by expanding protections and coverage options.
Subsidies And Protections Still Drive Coverage
- Key ACA protections like pre-existing condition rules and expanded benefits remain in place.
- Expanded subsidies and Medicaid growth were central to dramatically increasing coverage.
Enroll Now, Update Later If Needed
- If you're enrolled in an ACA plan, pick a plan now to ensure coverage at the start of the year.
- You can switch again later if Congress acts before open enrollment ends in January.