When it comes to health insurance, federal dollars support more than ACA plans

KFF Health News – Friday, February 20, 2026
By Julie Appleby

Subsidies. Love ’em or hate them, they dominated the news during the Affordable Care Act’s sign-up season, and their reduction is now hitting many enrollees in the pocketbook.

While lawmakers continue to disagree on a way forward, and the politics of affordability keeps the issue front and center, it would be understandable to think these are the only taxpayer-funded health insurance subsidies in the U.S. system.

But that would be wrong.

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