In 2018, on the heels of Republican efforts to repeal the Affordable Care Act, Democrats made enormous midterm gains, flipping 41 House seats — including two in Texas.
Seven years later, Democrats see another opportunity to win back the House during a Trump-era midterm by centering their message on health care. Enhanced premium tax credits — a policy change that has driven down average ACA premium prices and tripled enrollment in the marketplace — are set to expire at the end of the year, a cutoff that has thrust the issue into the center of the federal funding battle that led to this week’s government shutdown.