Federal Government Reopens After Longest Shutdown in History

November 13, 2025

EGWP marketplace medicaid Medicare

On Nov. 12, the House passed, and the President signed into law, legislation to reopen the federal government and end the longest U.S. government shutdown in history. The agreement funds most agencies through Jan. 30, 2026, with some full-year appropriations included. Immediate impacts include federal employees returning to work and receiving back pay, resumption of SNAP benefits and other critical programs though operational lags may persist for weeks.

The bill also extends Medicare telehealth coverage – which expired when the shutdown began – through Jan. 30 and retroactively pays for virtual care services delivered to beneficiaries during the shutdown. The deal struck in the Senate includes a stand-alone Senate vote in December on extension of enhanced ACA tax subsidies that will expire at year-end without congressional action. Passage is far from guaranteed and House Speaker Johnson (R-LA) has not committed to a vote.

The White House and key Republicans in Congress have made clear that reforms of the enhanced ACA tax subsidies are necessary for any potential bipartisan agreement. In addition to longstanding interest in addressing program integrity and limiting tax credits for higher-income consumers, the President and key Republicans are calling for reforms that would enable federal health care funding to flow directly to consumers.

perspectives

Americans continue to be satisfied with employer-sponsored coverage

A new national survey commissioned by AHIP finds American workers hold consistently positive views of employer-sponsored health coverage, with nearly 9 in 10 expressing satisfaction with their plans and a decisive 96% valuing the financial security their coverage provides. Workers view employer-provided coverage as integral to their employment decisions, with 68% ranking health insurance as […]
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April 15, 2026

EGWP marketplace medicaid Medicare

Solutions

AHIP and BCBSA provide progress update on prior authorization commitments

On April 7, The Cigna Group joined other health plans in announcing an update on the industry’s progress implementing the voluntary prior authorization commitments made in partnership with the Department of Health and Human Services and CMS last year. Since June 2025, participating health plans have eliminated 11% of prior authorizations across a range of […]
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April 15, 2026

EGWP marketplace medicaid Medicare

legislation

Washington lawmakers pass tax increase impacting insurers

Since returning in January, Washington lawmakers have been busy advancing a variety of tax increases to help manage significant budget shortfalls and introduce new revenue streams. One new source of revenue approved by both the Senate and House and included in the state’s budget is HB 2487, which removes a tax exemption for health plan-affiliated […]
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April 15, 2026

EGWP marketplace medicaid Medicare

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