Thanks to Trump’s Big Ugly Bill, enhanced ACA subsidies expired at the end of 2025. As a result, the cost of insurance skyrocketed — pushing millions off their coverage and forcing millions of others to choose between health care and rent.
While the House recently passed a bipartisan bill to extend the ACA’s enhanced premium subsidies, the Senate reached a new agreement that does not include those subsidies.
This means that health care premiums will double, triple, or even quadruple for millions of Americans.