Reading view

There are new articles available, click to refresh the page.

Pocan says loss of ACA health care subsidies will show up soon

By: Erik Gunn

U.S. Rep. Mark Pocan (D-Black Earth) speaks about impending insurance price increases due to the sunset of enhance subsidies for health insurance policies purchased at HealthCare.gov. (Photo by Erik Gunn/Wisconsin Examiner)

Sometime in the next 10 days, Wisconsin residents will see directly what the stakes are in the ongoing standoff in Washington over the federal shutdown, U.S. Rep. Mark Pocan (D-Black Earth) said Wednesday.

That’s when people who buy health insurance through the federal HealthCare.gov marketplace under the Affordable Care Act (ACA) will find out their likely premiums for 2026.

“In the next probably 10 days, we’re going to have a lot more information,” Pocan said at a press conference in the state Capitol along with small business owners and state lawmakers. “Health care is going to start getting very expensive for everyone beyond what it costs now — but for some people it’s going to be so cost prohibitive that they’re going to actually wind up losing their health insurance.”

Most Democrats in the U.S. Senate have refused to vote to advance a Republican continuing resolution to keep the federal government funded and have said they won’t do so if Republicans won’t negotiate with them on the bill.

In demanding changes to the stopgap spending bill, Democrats have focused on enhanced premium tax credits that provide subsidies for most people who buy health insurance on the federal marketplace.

The enhanced subsidies, enacted in 2021 and extended in 2022, will expire at the end of this year, driving up the premium cost for health insurance policies sold on the marketplace.

Pocan said that with the premiums on ACA policies going up and losing the additional subsidies, “a couple 60 years old making $85,000 in my district could see somewhere between a $16,000 and $17,000 increase next year in their premiums.” The projections are the product of KFF, the independent health research, policy and news organization.

Macy Buhler owns a child care center. She said her own health insurance comes through her husband’s job, but some of her employees have relied on the ACA and HealthCare.gov to buy insurance. With the possibility that they won’t be able to afford those plans any more, she said, she’s been inquiring with insurance companies about their potential options.

“I’m doing the best I can,” Buhler said. “But when people don’t see that this is going to affect our workforce, it frustrates me. It will absolutely affect our workforce. It will absolutely affect families who are middle class and lower. It will affect our farmers.”

Kyle LaFond, who  owns a custom manufacturing business, said he and his team of eight employees have relied on the ACA for health insurance.

“The ACA really leveled the playing field in terms of being able to provide coverage,” LaFond said.

Among his employees, the projected increases for health insurance will range from $2,000 to about $12,000. “For a growing family, those price hikes are almost insurmountable. It’s unconscionable,” La Fond said.

With the increased subsidies expiring, “I might lose some good people,” he added. “So I’m talking about the future of my business.”

Democrats tried to make extending the subsidies part of the tax- and spending-cut megabill that President Donald Trump signed in July, but the procedure Republicans used to pass that legislation allowed them to move it through the process without Democratic votes.

Pocan said the Democrats are not willing to trust the Republican majority to  negotiate on the ACA subsidies if the Democrats first agree on the GOP bill and simply reopen the government.

Previous deals in December and in March on stopgap spending bills fell apart, he said. “Then Donald Trump did recissions, which are against the law, and started taking away funding that we did. Article 1 of the Constitution gives the power of the purse to Congress and he took it away. So they get all of that.”

Pocan said the recurring Republican claim that Democrats are holding out “because they want to give hundreds of billions of dollars of health benefits to illegal aliens — PolitiFact gave that an outright false.”

Pocan refrained from using a barnyard epithet for the claim. “Manure is what it is,” he said, glancing around at the ornately decorated Assembly parlor. “It’s a pretty room. I got to talk pretty.”

But, he said, “by federal law, not one dime can go directly to someone who’s an undocumented person — I’m going to use that terminology — from Medicare, Medicaid, or the Affordable Care Act. So, nothing. So, it’s not true.”

Public awareness about the shutdown could be lagging. Pocan said his office had 85 calls last week about the shutdown.

By contrast, in the last nine months, his office has taken 14,435 calls about health care. “So this is something that people really care about.”

GET THE MORNING HEADLINES.

Government shutdown primed to roll into next week after US Senate deadlocks again

Senate Minority Leader Chuck Schumer of New York speaks to reporters at a press conference at the U.S. Capitol during the third day of a federal government shutdown, on Friday, Oct. 3, 2025. (Photo by Ashley Murray/States Newsroom)

Senate Minority Leader Chuck Schumer of New York speaks to reporters at a press conference at the U.S. Capitol during the third day of a federal government shutdown, on Friday, Oct. 3, 2025. (Photo by Ashley Murray/States Newsroom)

WASHINGTON — An agreement to reopen the federal government was nowhere in sight Friday after U.S. Senate Democrats and Republicans failed Friday, for the fourth time, to move on a deal and House Speaker Mike Johnson announced he won’t bring his members back until the middle of the month.

Two Senate votes to advance funding bills flopped, as expected, as Senate Democrats remained almost unanimous in demanding Republicans extend health care subsidies amid steep insurance premium increases. 

Republicans maintain they will not negotiate until the government reopens.

At the center of the argument are two separate government funding bills. One is a 91-page House-passed Republican bill that would keep the government open until Nov. 21.

The other is a 68-page Democrat counterproposal that aims to provide funding through October while restoring and permanently extending certain federal health funding and subsidies.

Republicans once again failed, 54-44, to gain enough Democratic support to reach the 60 votes needed — though Democratic Sens. Catherine Cortez Masto of Nevada and John Fetterman of Pennsylvania joined the GOP, as did Maine’s Sen. Angus King, an independent. Republican Sen. Rand Paul of Kentucky voted no. 

The Democrats’ plan also fell short in a 46-52 vote.

“It’s always wrong to shut the government down,” Fetterman said outside the Senate chamber after voting yes on both bills. “Why do this s–t?” 

Sen. John Fetterman, a Pennsylvania Democrat, answers questions from reporters in the U.S. Capitol on Oct. 3, 2025. (Photo by Ashley Murray/States Newsroom)
Sen. John Fetterman, a Pennsylvania Democrat, answers questions from reporters in the U.S. Capitol on Oct. 3, 2025. (Photo by Ashley Murray/States Newsroom)

Sens. Chris Coons, a Delaware Democrat, and Jerry Moran, a Kansas Republican, did not vote on either bill.

The Senate will not return to work until Monday, when two more votes on the same bills are planned.

Johnson said after the votes that the House will stay in recess until Oct. 14, which means the government shutdown could last until at least then, if not longer, if Democrats in the Senate continue their resistance to the House bill.

Nonstop messaging

Republican and Democratic leaders spent another day on Capitol Hill hammering their shutdown messages. 

At a morning press conference in the middle of the Capitol’s grand Statuary Hall, Johnson and Senate Majority Leader John Thune doubled down on their claim that Democrats are blocking government funding over a policy that Republicans say would provide health care to immigrants without legal status. 

“We challenge them to tell us why they’re not trying to give illegal aliens health care again when they put it in their own bill,” Johnson said, pointing to a poster of highlighted language from the Democrats’ proposal.

U.S. House Speaker Mike Johnson, R-La., speaks at a press conference, with Senate Majority Leader John Thune, R-S.D., standing in back of him, on Oct. 3, 2025. (Photo by Ashley Murray/States Newsroom)
U.S. House Speaker Mike Johnson, R-La., speaks at a press conference, with Senate Majority Leader John Thune, R-S.D., standing in back of him, on Oct. 3, 2025. (Photo by Ashley Murray/States Newsroom)

Democrats’ plan includes language reversing the GOP’s roughly $1 trillion in Medicaid cuts that President Donald Trump signed into law as part of a tax and spending cuts package on July 4. 

Johnson hailed a nonpartisan Congressional Budget Office finding in August that the new law would result in about 1.4 million immigrants losing health coverage. 

“That’s exactly what we promised, and that’s what’s gonna be achieved,” the Louisiana Republican said.

The populations slated to lose the coverage comprise lawfully present immigrants, including refugees and asylees, according to analysis by the nonprofit health policy research organization KFF. 

Longstanding federal policy prohibits immigrants without legal status in the U.S. from receiving government-funded health care. 

Health care premium hikes

At their own set of afternoon press conferences, Democratic leaders slammed what they described as a “Republican health care crisis.”

House Minority Leader Hakeem Jeffries pointed to a poster showing health care premium increases for 2026 plans in Georgia, Idaho and Virginia.

“The crisis is having real impact on working-class Americans right now,” the New York Democrat said.

Jeffries questioned why Republicans extended numerous tax cuts in their July budget reconciliation law, otherwise known as the “one big beautiful bill,” but could not “be bothered” to extend the premium enhanced tax credits for people who buy health insurance on the Affordable Care Act marketplace.

“Republicans spent all year focused on their one big, ugly bill so they could permanently extend massive tax breaks for the wealthy,” Jeffries said.

Senate Minority Leader Chuck Schumer also came armed with a set of posters to his snap briefing after the funding bill failed yet again. 

One showed a PolitiFact graphic arrow pointing to “FALSE” under the question of whether Democrats were threatening a government shutdown over health care for immigrants without legal status.

“They thought they could bludgeon us and threaten us and scare us. It ain’t working, because my caucus and Democrats are adamant that we must protect the health care of the American people,” Schumer said.

Sen. Brian Schatz of Hawaii said of the news of the House members not returning next week: “There is not a clearer illustration of their lack of seriousness in terms of reopening the government and solving the health care crisis.”  

‘It shifts the authority to the executive’

Johnson dismissed the Democrats’ fight over health care as “a political talking point.”

When asked about the Trump administration’s threats to permanently lay off thousands of federal workers and cancel funding for projects in blue states, Johnson said “when Congress decides to turn off the lights, shut the government down, it shifts the authority to the executive.”

“The president takes no pleasure in this, but if Chuck Schumer is gonna give Donald Trump the opportunity to determine what the priorities are, he’s gonna exercise that opportunity, and that’s where we are,” Johnson said.

When pressed by a reporter about the memes the White House has posted online in recent days, Johnson responded, “what they’re trying to have fun with, trying to make light of, is the absurdity of the Democrats’ position.” 

On Tuesday the White House posted an AI deepfake video that depicted Jeffries in a sombrero and mustache as mariachi music played while Schumer talks in a fake voice about duping people who do not speak English. 

❌