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President Trump has not made a final decision. But he is under pressure to address the cost of health care, which for many Americans will jump if the subsidies expire.
Nov. 24, 2025Updated 8:21 p.m. ET
President Trump, who has repeatedly denounced the Affordable Care Act as a “disaster,” is considering backing an extension of insurance subsidies tied to the health law that are set to expire at the end of the year, according to a senior White House official.
Mr. Trump has not made a final decision, the official said. The person spoke on the condition of anonymity to discuss continuing deliberations.
“Until President Trump makes an announcement himself, any reporting about the administration’s health care positions is mere speculation,” said Kush Desai, a White House spokesman.
Extending the subsidies was at the center of the 43-day government shutdown, the longest in U.S. history, with Democrats insisting on continuing them while Republicans said they would make no commitment while the government was closed.
Now that the shutdown is over, Mr. Trump is under pressure to deliver on a plan to address health care costs, especially as the subsidies that millions of people rely on to pay for coverage are expiring, which would cause a jump in premiums. The president and his administration have also sought to hone a broader affordability message as many Americans struggle with living costs.
The White House official said Mr. Trump was considering whether to impose tougher restrictions on who would be eligible for the subsidies. The White House did not provide details on what those restrictions might be, though they could include capping eligibility for wealthier Americans and requiring all enrollees to pay a minimum premium.
