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Cassidy: ‘There Is a Deal that Could Be Made’ on ACA Subsidies by End of Year

Sen. Cassidy proposes a hybrid plan to extend ACA subsidies temporarily and redirect funds to health savings accounts, aiming to help 22 million enrollees before tax credits expire.

  • On Dec. 14, Sen. Bill Cassidy said a deal could be reached before year-end, insisting on CNN's `State of the Union` despite four legislative working days left.
  • Lawmakers face a deadline because the enhanced Affordable Care Act premium tax credits are set to expire at the end of the month, risking around 22 million Americans losing subsidies.
  • Proposing a hybrid approach, Cassidy said his plan offers direct payments of roughly $1,000 to $5,000, arguing, `If somebody gets a policy with a $6,000 deductible, that's effectively no policy.`
  • Now attention shifts to the House, where Speaker Mike Johnson says the GOP-led package excludes subsidy extensions and the U.S. Senate likely won’t act before recess, making a lapse probable.
  • Cassidy says implementation could stretch into March, when HSA-style reimbursements could be handled retroactively, while Democrats press for a three-year extension and Republicans show openness to temporary limits.
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ramaonhealthcare.com broke the news in on Sunday, December 14, 2025.
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