Health Subsidies at Risk: What's Next for Affordable Care Act?

The government shutdown might be ending, but a big question mark hangs over health care subsidies. The deal to reopen the government doesn't include a plan for the Affordable Care Act (ACA) tax credits that help millions afford health insurance. These credits are set to expire at the end of the year, and there's no guarantee they'll be extended. The deal only promises a vote in December on these subsidies. But even that's not certain, as the House Speaker hasn't agreed to it. Some Democrats want a temporary fix, but Republicans aren't on board. Meanwhile, some Republicans, including the President, want to let the subsidies expire and explore other options, like giving people money for health savings accounts. If the subsidies disappear, many people will see their health insurance costs double. This will hit higher earners the hardest, but even lower earners will feel the pinch. Over time, insurance companies may raise prices further as healthier people drop their coverage. This could lead to more uninsured Americans, putting extra strain on hospitals and the government. Some people are already seeing these price hikes. For example, a hair stylist from Pennsylvania will see her monthly premium jump from $160 to $260 next year. Her deductible will also go up. If subsidies aren't extended, many people might decide they can't afford health insurance anymore. There's still a chance Congress could extend the subsidies, even after they expire. Most Americans support this idea, according to a recent poll. But even if they do, it might be too late for some people who have already seen the higher prices and made other plans. If the subsidies aren't extended, lawmakers might look for other ways to help people afford health care. The President has suggested giving the savings directly to people. Some senators have proposed giving everyone a health savings account. But these ideas are still in the early stages, and it's unclear how much they would help.