WASHINGTON (AP) — The U.S. government shut down Wednesday, with Democratic lawmakers insisting that health care demands be addressed in any potential deal, while Republicans maintain that those negotiations can proceed after the government is funded.
Key to the debate are tax credits that have made health insurance more affordable for millions of Americans since the COVID-19 pandemic. Without congressional action, these subsidies will expire at the end of the year, leading to a significant increase in premiums. KFF, a non-profit health research organization, forecasts that without intervention, the cost for insured individuals could more than double in 2024, increasing the burden on low- and middle-income families.
Democrats are calling for the extension of these subsidies, put in place and extended in 2021 and 2022, as well as reversing recent Medicaid cuts from a major legislative bill signed by former President Donald Trump. These cuts have already prompted some states to reduce Medicaid reimbursements to healthcare providers.
While some Republican lawmakers have expressed willingness to discuss extending the tax credits, many within the party argue that immediate funding for the government must take precedence over healthcare negotiations.
A record 24 million individuals gained insurance through the Affordable Care Act, largely due to subsidies that now face expiration. The loss of these subsidized rates would derail years of progress, particularly for those dependent on affordable healthcare. The stakes are high, as millions of Americans prepare for steep hikes in insurance premiums without congressional action.
As Democrats push for urgent health care discussions, they are met with Republican resistance, who emphasize the need for completing a stopgap government funding measure first. The impasse continues as both parties aim to present a viable solution to their constituents.