Congress

Bipartisan Senate talks to revive expired enhanced ACA premium tax credits — centered on a two‑year stopgap with income caps, anti‑fraud guardrails and a year‑two HSA option led by senators including Susan Collins and Bernie Moreno — are imperiled by a dispute over whether and how to limit abortion coverage in marketplace plans, a core sticking point Republicans press and Democrats oppose. At the same time, negotiators are moving forward with a separate bipartisan package to reform PBM compensation in Medicare Part D, require unique identifiers for hospital outpatient departments to curb overbilling, and extend community health‑center and telehealth flexibilities — deliberately excluding an ACA subsidy extension.