Americans can begin signing up for health care coverage through the Affordable Care Act marketplace for 2025 starting Friday, just days before a presidential election that could impact eligibility and costs for millions in the program. The future of 'Obamacare' has become a focal point in the final days of the campaign, with a top GOP leader pledging to overhaul the program if Republican Donald Trump wins the presidency.
Billions of dollars in tax credits are on the line, having been introduced during the COVID-19 pandemic to expand eligibility, make health insurance more affordable, and boost enrollment significantly. U.S. Health and Human Services Secretary Xavier Becerra highlighted that nearly all 21 million program beneficiaries have benefited from these subsidies, which are set to expire next year.
Becerra emphasized the shift in perspective, stating that Americans can now view health care as a right rather than a privilege. However, potential changes loom if Trump secures the White House and Republicans gain control of Congress in the upcoming elections, with promises to scale back 'Obamacare,' a hallmark of former President Barack Obama's tenure.
Trump's ally, House Speaker Mike Johnson, has vowed for 'massive reform' under a potential Trump presidency and Republican-led Congress, signaling health care reform as a key agenda item. While Trump has hinted at plans to alter the Affordable Care Act, concerns over spending and fraud have been raised by Republicans in recent months.
Enrollment saw a surge under the Biden administration after declining during Trump's term, reaching a low of 11 million. Taxpayers have had to inject billions more into the program to achieve this increase, funding subsidies that slashed premiums for many enrollees. Continuing these subsidies would require new legislation, potentially costing up to $335 billion over the next decade, a figure that some Republicans find daunting.
Democrats have cautioned voters about potential Republican efforts to dismantle the Affordable Care Act entirely, with warnings intensifying as Election Day approaches. Vice President Kamala Harris reiterated these concerns, citing Johnson's remarks as evidence of Republican intentions to undermine health care coverage.
The Biden administration's expansions, such as increased funding for health insurance navigators and expanded eligibility for immigrant 'Dreamers,' are likely to face opposition under a Trump administration. Open enrollment for coverage ends on Jan. 15, with enrollment by Dec. 15 necessary for coverage in the new year.
