Story perspectives
Affordable Care Act Enrollment Opens Amid Subsidy Crisis
11/1/2025
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Congress Navigates Subsidy Uncertainty
- Open enrollment for the Affordable Care Act began November 1, 2025, amid subsidy uncertainty.
- If Congress fails to act by December 31, 2025, premiums could rise 30% nationwide, with some states up to 97%.
- The Congressional Budget Office projects 4 million could lose coverage if subsidies expire, while others estimate up to 7.3 million.
- The ongoing government shutdown complicates negotiations, with Democrats seeking subsidy extensions before funding the government.
