After rejecting a G.O.P.-written plan to keep federal funding flowing, Democrats released a counteroffer that would add more than $1 trillion in health spending.
Republicans are signaling a new openness to extending health subsidies as Democrats suggest they want health care concessions to keep the government open.
Though Republicans are not explicitly trying to repeal the Affordable Care Act, a series of small, technical changes would substantially reduce enrollment and increase the cost of coverage.
Republicans have proposed lowering the federal share of costs for Medicaid expansions, which could reshape the program by gutting one of the Affordable Care Act’s major provisions.
Almost 24 million Americans have signed up for plans offered under the Affordable Care Act, driven by subsidies that are expiring and that Congress may not renew.
Almost 24 million Americans have signed up for plans offered under the Affordable Care Act, driven by subsidies that are expiring and that Congress may not renew.
Even without congressional action, a second Trump administration will likely support major changes to Medicaid and the Affordable Care Act’s marketplaces, affecting millions of Americans.