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That's because in 12 states that have refused to adopt the landmark law's Medicaid expansion, an estimated 2.2 million people, mostly of color, languish in the so-called coverage gap: eligible neither for Medicaid nor for subsidies in the ACA marketplace. The only problem is that, while the extended ACA subsidies will help low-to-middle-income Americans stay insured, the poorest might end up left in the lurch. So far, Democrats look likely to extend enhanced Affordable Care Act subsidies for at least two years, preventing a spike in health-insurance premiums that could push millions off the exchanges.Īll this is more than welcome: It's essential. Better yet, it saves money that can be directed into other programs so that, with the blessing of the chamber's parliamentarian, the provisions together can bypass a filibuster. The legislation is both a political and a policy win for the party. Joe Manchin III (D-W.Va.) primarily involves a popular bill to let Medicare negotiate the prices of a select set of drugs - thereby driving down costs. Schumer (D-N.Y.) seems to have struck with swing-voting Sen. The deal Senate Majority Leader Charles E. There's still room for the majority to make this last something the best it can be. The Washington Post on Congress closing the Medicaid coverage gapĪfter months of doing nothing, Democrats in Congress appear poised to achieve something at last - or rather, multiple somethings, from protections for same-sex marriage to tens of billions of dollars toward computer chips to, finally, an economic package passed through reconciliation. Excerpts from recent editorials in the United States and abroad: