This article is the latest in the Health Affairs Forefront featured topic, “Health Policy at a Crossroads,” produced with the support of the Commonwealth Fund and the Robert Wood Johnson Foundation.

Expect some surprises when Open Enrollment for health care coverage through the ACA Marketplaces begins. Premiums are going up and the enhanced premium tax credits that help Americans afford health ...

In a high-profile and long-awaited vote on December 11, 2025, the US Senate failed to extend the Affordable Care Act’s (ACA’s) enhanced premium tax credits (ePTC). Senate Democrats, joined by four ...

Fiscal conservatives argue that the enhanced subsidies for Obamacare marketplace health insurance should not be made permanent despite the demands of Democrats, whose votes are needed to fund the ...

The federal government shutdown is now nearing its end after votes in the U.S. Senate on Sunday and Monday, but the expiring of premium tax credits for health insurance through the Affordable Care Act ...