Washington, D.C. — President Donald Trump said Sunday he may veto legislation passed by the House that would restore and extend Affordable Care Act health insurance subsidies, a move that could lead to higher premiums for millions of Americans as the Jan. 15 enrollment deadline approaches.
The enhanced ACA subsidies, which significantly lowered monthly insurance costs for many middle- and low-income households, expired at the end of 2025. Without congressional action, consumers purchasing coverage on the ACA marketplaces could see sharp premium increases, raising concerns among health policy experts that coverage gains achieved in recent years could be reversed.
Last week, the Republican-controlled House approved a Democratic-backed bill to reinstate the subsidies, with 17 Republicans breaking ranks to support the measure. The bipartisan vote reflected growing concern over the political and economic fallout of higher insurance costs. However, Senate Republicans have already rejected similar legislation, setting up a high-stakes standoff between the chambers.
Trump’s comments added fresh uncertainty to the debate. A veto threat could stall negotiations and delay clarity for insurers and consumers planning coverage for the year ahead. The president has frequently criticized the ACA, though he has stopped short of calling for its full repeal during his second term.
Americans currently shopping for coverage have until Jan. 15 to enroll. The administration retains the authority to extend the enrollment period, a step that could provide temporary relief while lawmakers continue negotiations.
The outcome of the subsidy fight will directly shape healthcare affordability and insurance coverage for millions nationwide.
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