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Story perspectives

24 Million Face Premium Hike Without Tax Credit Extension

11/7/2025

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Story summary
  • Open enrollment began on November 1, 2025, placing about 24 million Americans using Affordable Care Act (ACA) marketplace plans at risk of higher premiums in January if the 2021 tax credits are not extended.
  • Democrats are leveraging a potential government shutdown to press Republicans to extend the expiring tax credits.
  • The issue is discussed by Julie Rovner (KFF Health News host) and Cynthia Cox (KFF Health News expert) in a podcast.