Politics / Republicans Blocked Healthcare Subsidies—and Now More Americans Are Going Uninsured The Trump administration has chalked up the drop in insurance coverage to a crackdown on fraud. Representative Hakeem Jeffries (D-NY) speaks during a December 2025 press conference on the steps of the Capitol where Democratic lawmakers called for extending expiring Affordable Care Act subsidies. Every other year, she’s turned to the Affordable Care Act to get health coverage. After Republicans failed to act and the subsidies evaporated this year, premiums have skyrocketed, forcing many Americans to downgrade their coverage. “Individuals are not typically fraudulently paying for Affordable Care Act marketplace coverage,” she said.