If Congress doesn't extend some Affordable Care Act tax credits, health-care premiums are expected to rise at the end of the year for some Americans. Lawmakers could not agree on extending the credits, partially leading to the shutdown.

Washington

The ongoing U.S. government funding debate is heavily focused on health care issues. Democrats are pushing for three main changes: reversing recent Medicaid cuts, stopping the White House from withholding previously allocated funds, and extending premium tax credits that help millions afford health insurance through the Affordable Care Act. The extension of these tax credits, which are set to expire, is the most likely area for bipartisan agreement, though changes to the program may be required to address concerns about cost and eligibility.

Republicans have rejected efforts to undo recent legislative changes and are unlikely to pressure the White House on spending rescissions. The debate also includes disagreements over which groups of immigrants should be eligible for government health programs. While current law excludes undocumented immigrants from Medicare and Medicaid, Democrats propose expanding eligibility for certain lawfully present immigrants, a move Republicans previously limited.

Why health care is at the center of the U.S. government shutdown fight

There are three things that Democrats are asking for here. Number one, with the Trump mega bill, there was a lot of health care provisions that passed cuts that were made to Medicaid. Democrats basically want to reverse all of what Republicans just did only a few months ago. Number two, the White House has done a number of what's called rescissions, basically taking funds that Congress in a bipartisan manner allocated to various programs. And the White House said, hey, we're not actually going to use that funding. Congress wants that to stop. They allocated this money in a bipartisan way and they want that to continue. And then number three, they want to extend these premium tax credits that are helping millions of Americans who get their health insurance through the Affordable Care Act marketplace to keep their health care costs low. The tax credits expire at the end of the year. And when they do, the cost of health insurance for more than 20 million Americans are expected to go up, according to the Kaiser Family Foundation. Now, we should be clear about this. Of these three things, the first two are no go. There's no way that Republicans are going to undo what they just did with the Trump mega bill. And frankly, even if Republicans disagree with what the White House is doing with spending and funding, they're not going to really be able to exert the kind of pressure on the White House to get them to stop. So really, the entire name of the game here are those Affordable Care Act tax credits, because there is some bipartisan support for getting them done. The entire three things that Democrats are proposing doing does come up to 1.5 trillion dollars. You've heard Republicans say that number a lot. But if we just want to zoom in for a second on those Affordable Care Act tax credits, extending those is estimated to cost 350 billion dollars over the next 10 years. But that's if you just extended them as is. Both Democrats and Republicans have told me they're likely going to need to make changes to the program to get it to advance things like adding income caps or trying to root out what they're calling waste, fraud and abuse. So that could potentially bring that cost a little bit lower. They want to give health care benefits to illegal aliens. So there's a little kernel of truth in here. But overall, undocumented immigrants, unauthorized immigrants, they're not allowed to access Medicare or Medicaid under current law. And Democrats have said as much. What Republicans did when they did the Trump mega bill, though, is they limited which groups of immigrants get to have access to things like Medicaid, Medicare and even these premium tax credits so they could buy insurance on the Affordable Care Act marketplace. So there are some groups of immigrants like refugees, those on temporary protected status or those who maybe were brought over here as kids and are now adults who are what are we called lawfully present. So they're able to be in the country. We know who they are. We know where they are. They're certainly not undocumented, but they're not exactly someone who are on necessarily on a path to citizenship or have a green card. What Republicans did is they narrowed the number of immigrants who would be eligible for these programs by rolling back the Trump mega bill health care provisions. Democrats would once again expand it to include those immigrants and allow them to access various forms of health care.

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Abilene

Eisenhower library head resigns

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LaGuardia Airport

Two regional jets collide on tarmac at New York's LaGuardia Airport

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Manchester

Two killed in attack near synagogue in England

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White House says federal worker layoffs ‘imminent’ after shutdown

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Los Angeles

Jane Goodall, chimpanzee researcher and conservationist, dies at 91

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Doha

Trump signs executive order protecting Qatar after Israeli strike

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Jerusalem

Middle East Conflict

Israel continues Gaza offensive as Hamas weighs U.S. peace deal

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Odesa Oblast

Deadly flash floods hit Odesa after downpours in Ukraine's south

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Kabul

Afghanistan imposes internet blackout

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Cebu

Dozens killed after 6.9-magnitude earthquake shakes Philippines

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U.S. government shuts down after lawmakers fail to reach funding deal

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Quantico

Hegseth gathers U.S. military leaders for rare, in-person meeting

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Folly Beach

Imelda becomes hurricane, threatens dangerous conditions on East Coast

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Caracas

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Hollywood

Global Tariffs

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Chișinău

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Ukraine Invasion

Washington might send Tomahawk missiles to Ukraine, Vance says

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Grand Blanc

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Breakdown