Government Shutdown Threatens Health Coverage for 22 Million Across U.S.

The first government shutdown since 2019 has begun, with Republican leaders refusing to discuss extending the COVID-era enhanced subsidies for Affordable Care Act (ACA) plans until at least mid-November. Senate Majority Leader John Thune emphasized opposition to new spending tied to continuing resolutions, while Democrats push for a permanent extension of these subsidies to prevent premium hikes. Experts warn that without timely action, millions of ACA marketplace enrollees could face significantly higher premiums starting in 2026, with some, such as 140,000 New Yorkers, expected to pay over $100 more monthly. The expiration of enhanced tax credits risks causing many to forgo insurance, potentially increasing uninsured rates and financial hardships. Health care workers and state officials have voiced concerns about the human impact of the shutdown and subsidy expiration, highlighting the dilemma faced by families choosing between health insurance and basic needs. Though Republicans show some willingness to discuss reforms and extensions, they reject including subsidy extensions in short-term funding bills, raising the possibility of political fallout and coverage losses for millions nationwide.