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总结
多家美媒报道，美国《平价医疗法案》(ACA)交易所的“加强型”保费补贴若在2025年底到期且国会未能续期，数百万参保者将于2026年面临明显保费上涨与自付支出增加，部分家庭可能因负担加重而退保。报道指出，这些补贴近年显著压低月保费并扩大参保覆盖面，失效将把成本转嫁给个人与市场，影响保险公司定价与各州参保结构，并可能促使两党就延长补贴、资金来源与责任归属再度交锋。
正文
Health subsidies expire, launching millions of Americans into 2026 with steep insurance hikes 6abc Philadelphia Americans brace to start New Year without healthcare BBC Congress failed to extend Obamacare subsidies. This Democrat says Trump can save them NPR 2026 price hikes hit ACA health insurance plans as subsidies expire for millions of Americans CBS News ObamaCare subsidies expire; premiums spike for millions: What to know The Hill
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