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  • Five things to know about the Affordable Care Act enhanced subsidies

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    The cost of health insurance is set to surge for millions of Americans under the Affordable Care Act at the start of the new year without the extension of expanded tax credits.The expanded subsidies were at the center of the 42-day government shutdown that ended in November. Now just days away from the new year, premiums are set to increase without an extension or resolution from Congress.The Get the Facts Data Team analyzed and aggregated statistics to know ahead of the rise in premiums in the new year.Premiums could rise on average 114%Premiums would more than double if the tax subsidies were to expire, according to an analysis from KFF. In addition to the potential ending of the subsidies, insurance rates are projected to rise across marketplace plans and employer-provided insurance.A one-person household with an annual income of $25,000 – a little more than 1.5 times the federal poverty level – is estimated to go from paying a maximum $100 out of pocket annually to $1,168.They would pay a maximum of less than $98 a month — 10 times more than the previous payment of less than $9 a month.The interactive below shows how the maximum out-of-pocket rates for benchmark plans may change if expanded subsidies expire for one, two and four-person households at various incomes. Estimates were calculated using maximum out-of-pocket rates from KFF published by the IRS, along with 2025 federal poverty level data from the U.S. Department of Health and Human Services for the 48 contiguous states plus D.C.The tool is not intended to calculate an individual’s actual payments. Healthcare.gov and other state marketplaces are the best source for specific premium costs.People closer to retirement age or with higher incomes could see the largest impactOnce the expanded tax credits expire at the end of this year, the out-of-pocket maximums will increase across the board, and people making above four times the poverty level will become ineligible for any tax credits.More than 6.7% of those who were enrolled in ACA plans earned more than 400% of the federal poverty level, accounting for 1.6 million people. Once the subsidies expire, these enrollees would no longer qualify for the subsidies under the ACA.Also heavily impacted are people approaching retirement age. The age group with the highest enrollment in marketplace plans is ages 55 to 64, data shows.KFF estimated in March that about half the enrollees who would lose the tax credit upon expiration are between 50 and 64.Premiums for individuals closer to retirement age and making more than 400% of the federal poverty level would also increase more compared to younger enrollees. Take a 30-year-old, a 45-year-old, and a 60-year-old earning $62,756 in a single household – 401% of the poverty level.Without the tax credits, the 30-year-old would see a $110 jump in the monthly premium for a silver plan, according to KFF’s ACA Enhanced Premium Tax Credit calculator. The 60-year-old would see an $881-per-month increase without the enhanced subsidies.24 million people are enrolled in plans under the Affordable Care ActThe subsidies are utilized by about 92% of the 24 million people enrolled in marketplace plans under the ACA, according to data from the Centers for Medicare & Medicaid Services.These expanded credits allow households of different sizes and income levels to be capped with maximum out-of-pocket costs.From 2020 to 2025, enrollment more than doubled as a result of expanded tax credits in the American Rescue Plan Act in 2021, which increased the subsidies and lifted a cap that disqualified people making four times the poverty level or more from being eligible for the subsidies.Under 2025 guidelines for the 48 contiguous states and Washington, D.C., the federal poverty level is $15,650 for a one-person household. At 400%, it’s $62,600.Six states have more than tripled in ACA enrollees since 2020There was a widespread increase in enrollment across states in the past five years.The six states that have more than tripled in enrollees since 2020 are Georgia, Louisiana, Mississippi, Tennessee, Texas and West Virginia. There were 14 states that more than doubled in enrollment. Just three places — including Washington, D.C. — declined in enrollment, according to data from the Centers for Medicare and Medicaid Services.Expired subsidies take effect Jan. 1Even though new insurance premiums would take effect in the new year, a retroactive extension could be passed in 2026.However, it would be complicated and would continue to grow more complicated over time, according to KFF. More enrollees may drop insurance in the meantime. In a KFF survey, a quarter of enrollees indicated they would go without health insurance if the cost of current coverage doubled. About a third said they’d look for a lower premium plan.PHNjcmlwdCB0eXBlPSJ0ZXh0L2phdmFzY3JpcHQiPiFmdW5jdGlvbigpeyJ1c2Ugc3RyaWN0Ijt3aW5kb3cuYWRkRXZlbnRMaXN0ZW5lcigibWVzc2FnZSIsKGZ1bmN0aW9uKGUpe2lmKHZvaWQgMCE9PWUuZGF0YVsiZGF0YXdyYXBwZXItaGVpZ2h0Il0pe3ZhciB0PWRvY3VtZW50LnF1ZXJ5U2VsZWN0b3JBbGwoImlmcmFtZSIpO2Zvcih2YXIgYSBpbiBlLmRhdGFbImRhdGF3cmFwcGVyLWhlaWdodCJdKWZvcih2YXIgcj0wO3I8dC5sZW5ndGg7cisrKXtpZih0W3JdLmNvbnRlbnRXaW5kb3c9PT1lLnNvdXJjZSl0W3JdLnN0eWxlLmhlaWdodD1lLmRhdGFbImRhdGF3cmFwcGVyLWhlaWdodCJdW2FdKyJweCJ9fX0pKX0oKTs8L3NjcmlwdD4=

    WASHINGTON —

    The cost of health insurance is set to surge for millions of Americans under the Affordable Care Act at the start of the new year without the extension of expanded tax credits.

    The expanded subsidies were at the center of the 42-day government shutdown that ended in November. Now just days away from the new year, premiums are set to increase without an extension or resolution from Congress.

    The Get the Facts Data Team analyzed and aggregated statistics to know ahead of the rise in premiums in the new year.

    Premiums could rise on average 114%

    Premiums would more than double if the tax subsidies were to expire, according to an analysis from KFF.

    In addition to the potential ending of the subsidies, insurance rates are projected to rise across marketplace plans and employer-provided insurance.

    A one-person household with an annual income of $25,000 – a little more than 1.5 times the federal poverty level – is estimated to go from paying a maximum $100 out of pocket annually to $1,168.

    They would pay a maximum of less than $98 a month — 10 times more than the previous payment of less than $9 a month.

    The interactive below shows how the maximum out-of-pocket rates for benchmark plans may change if expanded subsidies expire for one, two and four-person households at various incomes. Estimates were calculated using maximum out-of-pocket rates from KFF published by the IRS, along with 2025 federal poverty level data from the U.S. Department of Health and Human Services for the 48 contiguous states plus D.C.

    The tool is not intended to calculate an individual’s actual payments. Healthcare.gov and other state marketplaces are the best source for specific premium costs.

    People closer to retirement age or with higher incomes could see the largest impact

    Once the expanded tax credits expire at the end of this year, the out-of-pocket maximums will increase across the board, and people making above four times the poverty level will become ineligible for any tax credits.

    More than 6.7% of those who were enrolled in ACA plans earned more than 400% of the federal poverty level, accounting for 1.6 million people. Once the subsidies expire, these enrollees would no longer qualify for the subsidies under the ACA.

    Also heavily impacted are people approaching retirement age. The age group with the highest enrollment in marketplace plans is ages 55 to 64, data shows.

    KFF estimated in March that about half the enrollees who would lose the tax credit upon expiration are between 50 and 64.

    Premiums for individuals closer to retirement age and making more than 400% of the federal poverty level would also increase more compared to younger enrollees. Take a 30-year-old, a 45-year-old, and a 60-year-old earning $62,756 in a single household – 401% of the poverty level.

    Without the tax credits, the 30-year-old would see a $110 jump in the monthly premium for a silver plan, according to KFF’s ACA Enhanced Premium Tax Credit calculator.

    The 60-year-old would see an $881-per-month increase without the enhanced subsidies.

    24 million people are enrolled in plans under the Affordable Care Act

    The subsidies are utilized by about 92% of the 24 million people enrolled in marketplace plans under the ACA, according to data from the Centers for Medicare & Medicaid Services.

    These expanded credits allow households of different sizes and income levels to be capped with maximum out-of-pocket costs.

    From 2020 to 2025, enrollment more than doubled as a result of expanded tax credits in the American Rescue Plan Act in 2021, which increased the subsidies and lifted a cap that disqualified people making four times the poverty level or more from being eligible for the subsidies.

    Under 2025 guidelines for the 48 contiguous states and Washington, D.C., the federal poverty level is $15,650 for a one-person household. At 400%, it’s $62,600.

    Six states have more than tripled in ACA enrollees since 2020

    There was a widespread increase in enrollment across states in the past five years.

    The six states that have more than tripled in enrollees since 2020 are Georgia, Louisiana, Mississippi, Tennessee, Texas and West Virginia. There were 14 states that more than doubled in enrollment.

    Just three places — including Washington, D.C. — declined in enrollment, according to data from the Centers for Medicare and Medicaid Services.

    Expired subsidies take effect Jan. 1

    Even though new insurance premiums would take effect in the new year, a retroactive extension could be passed in 2026.

    However, it would be complicated and would continue to grow more complicated over time, according to KFF.

    More enrollees may drop insurance in the meantime. In a KFF survey, a quarter of enrollees indicated they would go without health insurance if the cost of current coverage doubled. About a third said they’d look for a lower premium plan.

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  • Government shutdown threatens to drag on through weekend with lawmakers deadlocked

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    As the Senate meets Friday for another vote to reopen the federal government, Democrats are refusing to yield without a deal from President Donald Trump — likely extending the government shutdown into next week.Democrats say not even the threat of mass firings and canceled federal projects will force them to accept the GOP short-term funding proposal without major policy concessions on health care.A top White House official warned Thursday that the number of federal workers who could be fired because of the shutdown is “likely going to be in the thousands.” Trump hasn’t made public his exact targets yet, though he met with White House budget chief Russ Vought on Thursday to discuss the plan.The White House already has a list – put together by Vought’s Office of Management and Budget in coordination with federal agencies – of the agencies they are targeting with the firings, according to two White House officials. While details are still being sorted, according to the officials, announcements could come in the coming days on which are on the chopping block for not aligning with the president’s priorities.Speaking on the steps of the U.S. Capitol on Thursday, House Minority Leader Hakeem Jeffries skewered the president and his team for what he called their “retribution effort” against Democrats, but made clear his party would not relent. He added that neither he nor Senate Minority Leader Chuck Schumer have received a call from Trump or GOP leaders for negotiations since the group met at the White House Monday.“Democrats are in this fight until we win this fight,” Jeffries said when asked if Democrats could accept a deal without an extension of the enhanced Obamacare subsidies that his party has been seeking. “This is the first week of the shutdown but we’ve had months of chaos and cruelty unleashed on the American people.”With the two parties still bitterly divided, the deadlocked Senate is expected to leave town for the weekend, which means neither chamber will vote again until at least Monday. With no ongoing talks between the two parties, many Senate Republicans plan to decamp to Sea Island, Georgia, this weekend for a major weekend fundraiser. The National Republican Senatorial Committee informed attendees in an email this week that the event was non-refundable and contracted years in advance — long before the current organization’s leadership, according to two people familiar with the matter.Democrats, too, have a scheduled fundraiser later this month. That event in Napa, California, is set to take place on Oct. 13. A spokesperson for the Democratic Senatorial Campaign Committee said they did not have information about whether the event was still on, though one of the featured attendees, Sen. Angela Alsobrooks of Maryland, has already informed organizers that she won’t be attending if there is a shutdown, according to a person familiar with the planning.Inside the Capitol, lawmakers and their staff are bracing for a lapse that could last into mid-October, with fears rising that government workers will miss a paycheck next week.GOP Sen. Mike Rounds of South Dakota described Friday’s vote as “crucial,” warning that “things go south real quick” if the government isn’t reopened before the weekend.Rounds is one of the few Republicans publicly anxious about the potential harms of an extended shutdown on the federal workforce, and has worked behind the scenes with some Democrats to find a way out of it. The end needs to come as quickly as possible, he warned, suggesting that Democrats could soon see the White House take an ax to programs that they heavily favor if the shutdown doesn’t end.“I think it’s gonna bite them harder than it does us,” Rounds told reporters Thursday. “There’s a whole lot of things out there that the Democrats care about that are not consistent with the president’s policies, and those are the first things at risk.”Senate Majority Leader John Thune remained firm Thursday when asked about how the shutdown would end. He said Democrats would have a fourth chance on Friday to vote to open the government: “If that fails, then they can have the weekend to think about it, we’ll come back, we’ll vote again on Monday.”“My Democrat colleagues are facing pressure from members of their far-left base, but they’re playing a losing game here,” he added.

    WASHINGTON —

    As the Senate meets Friday for another vote to reopen the federal government, Democrats are refusing to yield without a deal from President Donald Trump — likely extending the government shutdown into next week.

    Democrats say not even the threat of mass firings and canceled federal projects will force them to accept the GOP short-term funding proposal without major policy concessions on health care.

    A top White House official warned Thursday that the number of federal workers who could be fired because of the shutdown is “likely going to be in the thousands.” Trump hasn’t made public his exact targets yet, though he met with White House budget chief Russ Vought on Thursday to discuss the plan.

    The White House already has a list – put together by Vought’s Office of Management and Budget in coordination with federal agencies – of the agencies they are targeting with the firings, according to two White House officials. While details are still being sorted, according to the officials, announcements could come in the coming days on which are on the chopping block for not aligning with the president’s priorities.

    Speaking on the steps of the U.S. Capitol on Thursday, House Minority Leader Hakeem Jeffries skewered the president and his team for what he called their “retribution effort” against Democrats, but made clear his party would not relent. He added that neither he nor Senate Minority Leader Chuck Schumer have received a call from Trump or GOP leaders for negotiations since the group met at the White House Monday.

    “Democrats are in this fight until we win this fight,” Jeffries said when asked if Democrats could accept a deal without an extension of the enhanced Obamacare subsidies that his party has been seeking. “This is the first week of the shutdown but we’ve had months of chaos and cruelty unleashed on the American people.”

    With the two parties still bitterly divided, the deadlocked Senate is expected to leave town for the weekend, which means neither chamber will vote again until at least Monday. With no ongoing talks between the two parties, many Senate Republicans plan to decamp to Sea Island, Georgia, this weekend for a major weekend fundraiser. The National Republican Senatorial Committee informed attendees in an email this week that the event was non-refundable and contracted years in advance — long before the current organization’s leadership, according to two people familiar with the matter.

    Democrats, too, have a scheduled fundraiser later this month. That event in Napa, California, is set to take place on Oct. 13. A spokesperson for the Democratic Senatorial Campaign Committee said they did not have information about whether the event was still on, though one of the featured attendees, Sen. Angela Alsobrooks of Maryland, has already informed organizers that she won’t be attending if there is a shutdown, according to a person familiar with the planning.

    Inside the Capitol, lawmakers and their staff are bracing for a lapse that could last into mid-October, with fears rising that government workers will miss a paycheck next week.

    GOP Sen. Mike Rounds of South Dakota described Friday’s vote as “crucial,” warning that “things go south real quick” if the government isn’t reopened before the weekend.

    Rounds is one of the few Republicans publicly anxious about the potential harms of an extended shutdown on the federal workforce, and has worked behind the scenes with some Democrats to find a way out of it. The end needs to come as quickly as possible, he warned, suggesting that Democrats could soon see the White House take an ax to programs that they heavily favor if the shutdown doesn’t end.

    “I think it’s gonna bite them harder than it does us,” Rounds told reporters Thursday. “There’s a whole lot of things out there that the Democrats care about that are not consistent with the president’s policies, and those are the first things at risk.”

    Senate Majority Leader John Thune remained firm Thursday when asked about how the shutdown would end. He said Democrats would have a fourth chance on Friday to vote to open the government: “If that fails, then they can have the weekend to think about it, we’ll come back, we’ll vote again on Monday.”

    “My Democrat colleagues are facing pressure from members of their far-left base, but they’re playing a losing game here,” he added.

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  • If ACA enhanced subsidies end, would premiums rise 75%?

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    With federal government funding set to run out Oct. 1 unless Congress passes an extension, Democrats are seeking to leverage government shutdown fears to persuade Republicans to extend Affordable Care Act subsidies that would otherwise expire at the end of the year.

    Most Republicans want to pass a “clean” resolution to extend the federal spending deadline; this type of bill would keep the government running at current spending levels and allow added time for more debate about proposed federal spending changes. Some Republicans also oppose the ACA subsidies as too expensive for taxpayers and say they were intended as a pandemic-era policy that has outlived its purpose. Some Republican lawmakers, though, agree that the subsidies should be extended and have worked on crafting legislation to do that. 

    Democrats, who are relatively powerless as the congressional minority, see the moment as an opportunity to attach a key legislative priority — ACA subsidy extension — to must-pass legislation. Democratic lawmakers say the expiration of enhanced subsidies for people who obtain health insurance through Affordable Care Act marketplaces would stick millions of Americans with additional costs.

    House Democratic Whip Katherine Clark, D-Mass., the second-highest ranking House Democrat, said in a Sept. 12 X post, “Republicans are spiking health insurance premiums by 75% for everyday Americans” if they don’t extend the enhanced subsidies.

    Sen. Chris Murphy, D-Conn., used the same figure Sept. 9. And AHIP, an insurance industry group, also cited the 75% figure in an article in which it urged passage of subsidy extensions. 

    Sign up for PolitiFact texts

    The 75% cost increase figure has been cited by KFF, a health care think tank. But it needs more context.

    Clark’s office did not respond to an inquiry.

    What are enhanced subsidies?

    People who use the Affordable Care Act’s marketplaces can buy health insurance from providers at various levels of coverage and varying premium costs. Most purchasers obtain subsidies, as long as they meet the income guidelines. 

    In 2021, then-President Joe Biden signed legislation that made Affordable Care Act subsidies more generous, by reducing the maximum amount purchasers would have to pay for premiums and enabling households whose incomes were higher than 400% of the federal poverty level to receive subsidies. Previously, the subsidies were capped at 400% of the poverty limit for a household, which in 2024 was $60,240.

    Congress renewed these enhanced subsidies in 2022 through the end of 2025, so they are now poised to expire.

    The subsidies proved popular; the number of people receiving them increased from 12 million in 2020 to 21.4 million in 2024, according to KFF’s analysis of federal data. About three-quarters of those receiving subsidies in 2024 were households with incomes at 250% or less of the federal poverty level, or about $37,650.

    Where did the 75% figure originate?

    Using 2024 federal data, KFF calculated the average annual premiums for enrollees who received enhanced subsidies. The government paid $5,727 of the total premium under the original Affordable Care Act subsidy rules. Another $888 came from the beneficiary’s pocket.

    The enhanced subsidy provision covered the final portion, $705. If the enhanced subsidy disappeared and the enrollee had to pay both the $888 and the $705 amounts, that would total $1,593. That’s about 79% more than the same person was paying with the enhanced subsidies in place — which is close to the 75% figure that Clark and Murphy cited.

    The Congressional Budget Office, Congress’ nonpartisan number-crunching arm, has projected that a failure to extend the subsidies would increase the uninsured population by 2.2 million in the first year and by an average of 3.8 million each year from 2026 to 2034.

    CBO also projected that if the enhanced subsidies were to expire, premiums would increase by 4.3% in the first year, because of a decline in the number of people who get coverage, leaving fewer enrollees to pick up the costs. Premiums would increase by an annual average of 7.9% from 2026 to 2034.

    There are nuances to note.

    • Enrollees wouldn’t see a 75% increase in “premiums,” as Clark phrased it. Their increase would stem from a combination of premium increases and reduced subsidies. However, for consumers, that distinction would matter little; by KFF’s calculations, they would still be paying 79% more out of pocket, regardless of the reason. 

    • The 79% figure is an average increase; the figure varies by state. Enrollees in Hawaii would have the lowest increase, 49%, while those in Wyoming would have the highest, 195%. There is also substantial variation based on the number of people in a family and their ages.

    Our ruling

    Clark said, “Republicans are spiking health insurance premiums by 75% for everyday Americans” if they don’t extend enhanced ACA subsidies. 

    If the Republican-controlled Congress does not extend Affordable Care Act enhanced subsidies before they expire at the end of this year, enrollees would have to pay more.

    KFF analysis of federal data found that the average increase in out-of-pocket coverage cost would be 79%, with state-by-state average increases ranging from 49% to 195%.

    This cost increase would come from a combination of insurance premium increases and the disappearance of subsidies, rather than from “spiking health insurance premiums” alone.

    The statement is accurate but needs clarification. We rate it Mostly True.

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  • Republicans unveil a bill to fund the government through Nov. 21. Democrats call it partisan

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    House Republicans unveiled on Tuesday a stopgap spending bill that would keep federal agencies funded through Nov. 21, daring Democrats to block it knowing that the fallout would likely be a partial government shutdown that would begin Oct. 1, the start of the new budget year.The bill would generally fund agencies at current levels, with a few limited exceptions, including an extra $88 million to boost security for lawmakers and members of the Supreme Court and the executive branch. The proposed boost comes as lawmakers face an increasing number of personal threats, with their concerns heightened by last week’s assassination of conservative activist Charlie Kirk.The House is expected to vote on the measure by Friday. Senate Majority Leader John Thune said he would prefer the Senate take it up this week as well. But any bill will need some Democratic support to advance through the Senate, and it’s unclear whether that will happen.Senate Democratic leader Chuck Schumer and House Democratic leader Hakeem Jeffries have been asking their Republican counterparts for weeks for a meeting to negotiate on the bill, but they say that Republicans have refused. Any bill needs help from at least seven Democrats in the Senate to overcome procedural hurdles and advance to a final vote.The two Democratic leaders issued a joint statement saying that by “refusing to work with Democrats, Republicans are steering our country toward a shutdown.””The House Republican-only spending bill fails to meet the needs of the American people and does nothing to stop the looming healthcare crisis,” Schumer and Jeffries said. “At a time when families are already being squeezed by higher costs, Republicans refuse to stop Americans from facing double-digit hikes in their health insurance premiums.”Republicans say it’s Democrats who are playing politics by insisting on addressing health coverage concerns as part of any government funding bill. In past budget battles, it has been Republicans who’ve been willing to engage in shutdown threats as a way to focus attention on their priority demands. That was the situation during the nation’s longest shutdown, during the winter of 2018-19, when President Donald Trump was insisting on federal funds to build the U.S.-Mexico border wall.This time, however, Democrats are facing intense pressure from their base of supporters to stand up to Trump. They have particularly focused on the potential for skyrocketing health care premiums for millions of Americans if Congress fails to extend enhanced subsidies, which many people use to buy insurance on the Affordable Care Act exchange. Those subsidies were put in place during the COVID crisis, but are set to expire.Some people have already received notices that their premiums — the monthly fee paid for insurance coverage — are poised to spike next year. Insurers have sent out notices in nearly every state, with some proposing premium increases of as much as 50%.Johnson called the debate over health insurance tax credits a December policy issue, not something that needs to be solved in September.”It’ll be a clean, short-term continuing resolution, end of story,” Johnson told reporters. “And it’s interesting to me that some of the same Democrats who decried government shutdowns under President Biden appear to have no heartache whatsoever at walking our nation off that cliff right now. I hope they don’t.”Thune said Republicans are simply providing what Schumer has always requested in the past when Democrats were in the majority — “a clean funding resolution to fund the government.” He said that if the House passes the measure and Trump is prepared to sign it, then “it will be only the Democrat leader that is standing between this country and a government shutdown and all that means.”

    WASHINGTON —

    House Republicans unveiled on Tuesday a stopgap spending bill that would keep federal agencies funded through Nov. 21, daring Democrats to block it knowing that the fallout would likely be a partial government shutdown that would begin Oct. 1, the start of the new budget year.

    The bill would generally fund agencies at current levels, with a few limited exceptions, including an extra $88 million to boost security for lawmakers and members of the Supreme Court and the executive branch. The proposed boost comes as lawmakers face an increasing number of personal threats, with their concerns heightened by last week’s assassination of conservative activist Charlie Kirk.

    The House is expected to vote on the measure by Friday. Senate Majority Leader John Thune said he would prefer the Senate take it up this week as well. But any bill will need some Democratic support to advance through the Senate, and it’s unclear whether that will happen.

    Senate Democratic leader Chuck Schumer and House Democratic leader Hakeem Jeffries have been asking their Republican counterparts for weeks for a meeting to negotiate on the bill, but they say that Republicans have refused. Any bill needs help from at least seven Democrats in the Senate to overcome procedural hurdles and advance to a final vote.

    The two Democratic leaders issued a joint statement saying that by “refusing to work with Democrats, Republicans are steering our country toward a shutdown.”

    “The House Republican-only spending bill fails to meet the needs of the American people and does nothing to stop the looming healthcare crisis,” Schumer and Jeffries said. “At a time when families are already being squeezed by higher costs, Republicans refuse to stop Americans from facing double-digit hikes in their health insurance premiums.”

    Republicans say it’s Democrats who are playing politics by insisting on addressing health coverage concerns as part of any government funding bill. In past budget battles, it has been Republicans who’ve been willing to engage in shutdown threats as a way to focus attention on their priority demands. That was the situation during the nation’s longest shutdown, during the winter of 2018-19, when President Donald Trump was insisting on federal funds to build the U.S.-Mexico border wall.

    This time, however, Democrats are facing intense pressure from their base of supporters to stand up to Trump. They have particularly focused on the potential for skyrocketing health care premiums for millions of Americans if Congress fails to extend enhanced subsidies, which many people use to buy insurance on the Affordable Care Act exchange. Those subsidies were put in place during the COVID crisis, but are set to expire.

    Some people have already received notices that their premiums — the monthly fee paid for insurance coverage — are poised to spike next year. Insurers have sent out notices in nearly every state, with some proposing premium increases of as much as 50%.

    Johnson called the debate over health insurance tax credits a December policy issue, not something that needs to be solved in September.

    “It’ll be a clean, short-term continuing resolution, end of story,” Johnson told reporters. “And it’s interesting to me that some of the same Democrats who decried government shutdowns under President Biden appear to have no heartache whatsoever at walking our nation off that cliff right now. I hope they don’t.”

    Thune said Republicans are simply providing what Schumer has always requested in the past when Democrats were in the majority — “a clean funding resolution to fund the government.” He said that if the House passes the measure and Trump is prepared to sign it, then “it will be only the Democrat leader that is standing between this country and a government shutdown and all that means.”

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