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The Conversation
The Conversation
Wendy Netter Epstein, Professor of Law, DePaul University

Health insurance subsidy standoff pits affordable care for millions against federal budget constraints

Lawmakers limited Affordable Care Act subsidies to a few years, setting the stage for a fight over them in 2025. Ted Eytan/Wikimedia Commons, CC BY-SA

As the federal government entered a shutdown on Oct. 1, 2025, competing narratives quickly emerged about the cause.

Some Republican lawmakers objected to Democrats’ push to include an extension of the expanded Affordable Care Act premium subsidies in a short-term funding bill and cited concerns about long-term spending. Democratic leaders countered that the subsidies are not a new demand but rather the continuation of a program that has helped keep record numbers of Americans insured since the pandemic – and therefore that the issue could not be delayed.

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