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A record 24.3 million people signed up for health insurance on federal and state-based marketplaces during the exchange open enrollment period for 2025. Fueled by enhanced subsidies enacted in 2021 and extended in 2022, the number blew past the record set a year ago by nearly 2.9 million — a 13% increase, the Centers for Medicare and Medicaid Services reported Monday. The more sizable tax credits will expire at the end of this year, barring a congressional renewal. (Tepper, 5/12)

Republican-led proposal to scale back Affordable Care Act (ACA) subsidies could result in millions of Americans losing their health insurance, according to new estimates from the Congressional Budget Office (CBO). The CBO estimates were requested by top Democrats in the House Energy and Commerce, House Ways and Means, and Senate Finance Committees, Senator Ron Wyden and Representatives Neal Dunn and Frank Pallone. (Laws, 5/12)

Â鶹ŮÓÅ Health News: After Promising Universal Health Care, California Governor Must Reconsider Immigrant Coverage

Gov. Gavin Newsom didn’t expect to be reckoning with another health care crisis. In March, as President Donald Trump and congressional Republicans escalated a nationwide debate over whether to slash health care for poor and disabled Americans, the Democratic governor had to tell state lawmakers that California’s health care costs had spiraled out of control due to major Medicaid initiatives he backed — including the nation’s largest expansion of taxpayer-financed health care for immigrants living in the U.S. without legal permission. (Hart and Mai-Duc, 5/13)