January 15, 2026
1 min read

STAT+: Negotiations over ACA subsidy bill drag on

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Inspirational scribbles from baristas have never inspired me, but HHS Deputy Secretary Jim O’Neill was moved by a Starbucks cup to seize the day while landing in Minnesota. Send news tips and notes of affirmation to John.Wilkerson@statnews.com or John_Wilkerson.07 on Signal.

Mea culpa

In Tuesday’s newsletter, I wrote that Trump had reversed his position on ACA premium subsidies by threatening to veto legislation extending them. However, Trump was responding to a question specifically about a clean, three-year extension. That’s an idea that Republicans generally oppose, though some voted for it in the House in the hopes of spurring the Senate to negotiate a compromise.

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