As the shutdown drags on, these people will lose if health care subsidies expire
October 16, 2025
Millions of Americans with Affordable Care Act marketplace health insurance will face higher costs next year if Congress doesn’t extend enhanced premium tax credits that have made the plans more affordable. That prospect is forcing Americans to make difficult decisions about their health care and what they can afford. Among the enrollees is Celia Monreal, a 47-year-old mother of five in Tyler, Texas, whose husband has cartilage loss in his knees. The couple won’t be able to afford their health insurance plan next year if the subsidies expire. The tax credits are at the heart of the federal government shutdown, which has entered a third week with no end in sight.