Congress takes up health care again − and impatient voters shouldn’t hold their breath for a cure
As the bell struck midnight on Jan. 1, 2026, time ran out on Obamacare subsidies for over 24 million Americans. These subsidies, propped up through various legislative packages over the years, lowered the health insurance costs for Americans on the Obamacare exchange.
Following the expiration of these subsidies, health insurance premiums are skyrocketing for around 90% of Americans who use health insurance from the exchange. For many Americans, the new year means a choice between paying exorbitant costs or taking the risk of no health insurance at all.
But unlike other policy challenges that Congress may face in 2026, the expiration of health insurance subsidies was not unexpected.
The extension of health care subsidies was the pivotal disagreement that ultimately led to the longest government shutdown in U.S. history in the fall of 2025. Democratic members, in support of extending the subsidies, faced off against the majority party in Congress: Republicans who wanted a short-term legislative fix that did not fund subsidies.
Republicans ultimately won the shutdown battle. And while Democrats attempted a last-gasp vote in December to reform and extend health care subsidies, the health care debate was yet again punted into the next year.
Congress has reconvened, and Democratic members – joined by four Republican members – used the best possible procedural tool at the minority party’s disposal, the discharge petition, to force congressional leaders to allow votes on an extension of Obamacare subsidies during its first week back in session. But overcoming congressional leadership is an........





















Toi Staff
Sabine Sterk
Gideon Levy
Mark Travers Ph.d
Waka Ikeda
Tarik Cyril Amar
Grant Arthur Gochin