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Morning Briefing

Summaries of health policy coverage from major news organizations

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Wednesday, Oct 22 2025

Full Issue

Amid Shutdown, Health Care Lobbyists Tiptoe Around Topics To Pursue Wins

Health care advocates tread a delicate line when it comes to discussions about politically charged ACA subsidies, but they see opportunities to sway lawmakers on bipartisan issues such as telehealth. Meanwhile, moderate Republicans lean on House leadership to address expiring ACA subsidies.

The government may be shut down but it鈥檚 no vacation for healthcare lobbyists. The standoff between the Republican congressional majority and the Democratic minority that triggered the shutdown at the start of fiscal 2026 on Oct. 1 is centered around a battle over health insurance exchange subsidies, but there鈥檚 much more on the line for the healthcare sector. (McAuliff, 10/21)

The latest on the federal shutdown 鈥

A group of front-line House Republicans on Tuesday called聽on聽Speaker Mike Johnson (R-La.) to 鈥渋mmediately鈥 address the expiring enhanced ObamaCare tax credits once the government shutdown ends.聽Led by Reps. Jeff Van Drew (R-N.J.) and Jen Kiggans (R-Va.), 13 lawmakers told Johnson that millions of their constituents would聽face a massive spike in聽health premiums聽without an extension of the subsidies before their聽expiration聽at the end of the year.聽(Weixel, 10/21)

Senate Republicans are increasingly chattering about changing the filibuster鈥檚 rules if Democrats do not end the shutdown, even though Senate Majority Leader John Thune (R-S.D.) says he opposes weakening a tool safeguarding the minority鈥檚 power. Initially, there was no discussion about filibuster reform when it came to the shutdown, but the idea is getting more attention in Republican circles as the stalemate drags on. (Bolton, 10/22)

Food banks from coast to coast were already seeing an uptick in visits from federal workers who are furloughed or working without pay. Now, they are preparing for an additional influx from Americans who rely on federal food benefit programs, which are set to run out of funding at the end of the month, such as the Supplemental Nutrition Assistance Program, known as SNAP or food stamps, and WIC, the food program for women, infants and children. (Nobles, 10/21)

As the federal government shutdown enters its third week, some Americans are worried about the future of the Affordable Care Act (ACA) subsidies. The subsidies, or premium tax credits, help lower or eliminate the out-of-pocket cost of monthly premiums for those who purchase insurance through the health insurance marketplace. They were enhanced during the COVID-19 pandemic and are currently set to expire at the end of 2025. (Kekatos, 10/21)

吃瓜不打烊: A New Car Vs. Health Insurance? Average Family Job-Based Coverage Hits $27K

With the federal shutdown entering its fourth week, spurred by a stalemate over the cost of health insurance for 22 million Americans on Affordable Care Act plans, a new report shows that over 154 million people with coverage through an employer also face steep price hikes 鈥 and that the situation is likely to get worse. Premiums for job-based health insurance rose 6% in 2025 to an average of $26,993 a year for family coverage, according to an annual survey of employers released Oct. 22 by KFF, a health information nonprofit that includes 吃瓜不打烊. (Galewitz, 10/22)

The main difference is that most Americans don鈥檛 confront the full cost of their coverage. (Abelson and Sanger-Katz, 10/22)

Also 鈥

In the latest bid to plug gaps in the federal government鈥檚 public health infrastructure, two institutions are coming together to create an alternative to the Centers for Disease Control and Prevention鈥檚 vaunted Morbidity and Mortality Weekly Report 鈥斅爋ften called 鈥渢he voice of the CDC.鈥澛(Oza, 10/21)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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