As millions of Americans brace for dramatically higher health care costs come January 2026 after enhanced Affordable Care Act (ACA) subsidies expire, the White House is expected to propose a two-year extension to prevent a massive spike in premiums.

The Committee for a Responsible Federal Budget (CRFB), the nonpartisan budget watchdog that regularly crunches numbers on policy impacts on the $38 trillion national debt, included this as one estimate in a series of projections published in early November.

An extension could cost roughly $50 billion over the first two years, according to a CRFB statement issued to Fortune, although details continue to trickle in from various reports. It could be roughly cost-neutral over a decade if cost-sharing reductions (CSR) and other reforms being consi

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