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Fortune
Fortune
Ali Swenson, The Associated Press

Millions of Americans start the new year with spiking health insurance costs under latest version of Obamacare

aca (Credit: AP Photo/J. Scott Applewhite, File)

Enhanced tax credits that have helped reduce the cost of health insurance for the vast majority of Affordable Care Act enrollees expired overnight, cementing higher health costs for millions of Americans at the start of the new year.

Democrats forced a 43-day government shutdown over the issue. Moderate Republicans called for a solution to save their 2026 political aspirations. President Donald Trump floated a way out, only to back off after conservative backlash.

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