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

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.”
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