TYLER, Texas (AP) — Celia Monreal worries every day about the cartilage loss in her husband’s knees. Not just because it's hard for her to see him in pain but also because she knows soon their .

Monreal, 47, and her husband, Jorge, 57, rely on for health coverage. If Congress doesn’t extend certain set to expire at the end of the year, their fully subsidized plan will increase in cost, putting it out of reach. Without insurance, they won’t be able to afford his expected knee replacement surgeries, much less the treatment they need for other issues, like her chronic high blood pressure and his high cholesterol.

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