September 30, 2025
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POLITICO Update, 9/30/25 re: pending federal government shutdown In an interview on CNBC with just hours to go before the deadline to avert a lapse in federal funding, the Louisiana Republican called the politically divisive topic is a “December policy issue” — a reference to the fact that the expanded subsidies don’t expire until Dec. 31. He also acknowledged a major swath of House Republicans oppose an extension and GOP leaders will need October and November to hammer out any deal. “They’re doing this for Chuck Schumer’s backside,” Johnson added of Democrats, alluding to the political pressure they are under show their progressive base they’re willing to fight. Republican leaders feel they are still in a strong position to hold out against Democratic demands as the country careens toward a shutdown overnight. But White House officials are worry of the fallout for markets. Notably, Johnson in the CNBC interview did concede that “markets will be rattled” should the government shut down at midnight. House Minority Leader Hakeem Jeffries later said on the same program that “of course” Democrats are willing to try find “common ground” on an extension of the Affordable Care Act subsidies, but there was urgency to act. Higher premiums for insurance plans would start to go out sooner than December, the New York Democrat argued. Some of Johnson’s own House Republicans say they need an ACA extension deal by Nov. 1 — when open enrollment starts and insurers start to lock in pricing. Jeffries also urged Johnson to call the House back into session to negotiate a compromise to avert a shutdown. Republicans left town last week to pressure Senate Democrats to pass their clean, seven-week stopgap spending bill. “We’re here,” Jeffries said of House Democrats. “We’re looking forward to conversations throughout the day.“ |
While major programs such as Medicare would continue, a shutdown may provide President Donald Trump an opportunity to make cuts.
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Diagnoses of opioid use disorder among the commercially insured jumped nearly 40% nationwide between 2021 and 2024, according to data from FAIR Health’s Opioid Tracker shared first with Axios.
NYS Council note: This is just one of MANY reasons why the state MUST enforce the new Part AA – commercial rate mandate, and penalize insurers to the fullest extent of the law when they fail to comply on time and in full.)
Marketplace Plan Costs to Surge 18 Percent as Consumers Lose Enhanced Premium Tax Credits |
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September 30, 2025 |
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More than 20 million people get their health insurance from the Affordable Care Act marketplaces. Recent rate filings from insurers show premiums for those plans will surge in 2026 — in some states, to as much as three times their current level. These increases are being driven by an overall rise in health care costs and by the expiration of the enhanced premium tax credits, say Georgetown University researcher Stacey Pogue and colleagues in a post for To the Point. “Although Congress could safeguard consumers by maintaining the premium tax credit at current 2025 levels, it’s not clear whether a majority of lawmakers will agree to do so.” With open enrollment beginning in November, millions of people will soon learn they must pay significantly more to keep their coverage next year. |
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From the article linked below from KFF:
“Major Medicaid regulations designed to promote quality of care and advance access to care for Medicaid enrollees finalized under the Biden administration could be repealed by Congress or delayed or rewritten by the Trump administration…”
Kaiser Family Foundation on the Reality of Medicaid managed care: