{"id":212528,"date":"2025-10-09T20:04:07","date_gmt":"2025-10-09T20:04:07","guid":{"rendered":"https:\/\/www.newsbeep.com\/us\/212528\/"},"modified":"2025-10-09T20:04:07","modified_gmt":"2025-10-09T20:04:07","slug":"federal-shutdown-nearly-100000-long-islanders-health-care-costs-impacted-by-debate","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/us\/212528\/","title":{"rendered":"Federal shutdown: Nearly 100,000 Long Islanders&#8217; health care costs impacted by debate"},"content":{"rendered":"<p>Hanging in the balance as the federal government shutdown entered its ninth\u00a0day Thursday are health insurance plans for nearly 100,000\u00a0Long Islanders, some of whom could face thousands of dollars in premium increases if government subsidies aren\u2019t extended on Jan. 1.<\/p>\n<p>One of the key sticking points in the shutdown is a Democratic demand that enhanced federal subsidies for the Affordable Care Act \u2014 also known as Obamacare \u2014\u00a0<a href=\"https:\/\/www.newsday.com\/news\/health\/big-beautiful-bill-healthcare-xim4gxuj \" rel=\"nofollow noopener\" target=\"_blank\">that were first enacted in 2021<\/a> be extended past their expiration date and made permanent. Democrats also are asking for the reversal of Medicaid changes that would, <a href=\"https:\/\/https:\/\/www.cbo.gov\/system\/files\/2025-05\/61422-Reconciliation-Distributional-Analysis.pdf\" rel=\"nofollow\">according to independent analyses<\/a>, lead to cuts of hundreds of billions of dollars in Medicaid spending.<\/p>\n<p>On Long Island, the average increase for about 28,000 people with subsidized ACA plans would be 32%, according to data from the state Department of Health. Another 70,000 who now pay no premiums will\u00a0have to pay something no matter what \u2014 but more without a subsidy extension.<\/p>\n<p>&#8220;Millions of low- and middle-income Americans are facing a looming health care affordability crisis,&#8221; Sen. Kirsten Gillibrand (D-N.Y.) said in\u00a0a virtual news conference Wednesday. Republican lawmakers, meanwhile, said discussions about extending the subsidies shouldn&#8217;t be tied to the shutdown, and some support proposals to temporarily extend the aid.<\/p>\n<p>WHAT NEWSDAY FOUNDThe government shutdown is hitting home for tens of thousands of Long Islanders who would face increases in their health insurance premiums \u00a0\u2014 in some cases thousands of dollars a year \u00a0\u2014 if government subsidies aren\u2019t extended on Jan. 1.The average increase for the 28,000 Long Islanders who have subsidized Affordable Care Act plans would be 32%, according to state estimates. Another 70,000 who now pay no premiums will have to pay something no matter what \u2014 but more without a subsidy extension.At issue are enhanced ACA subsidies  first enacted in 2021 but that are scheduled to expire Dec. 31. Democrats demanded those subsidies be made permanent in exchange for their support for a government funding bill. Republicans said discussion of the subsidies shouldn\u2019t be linked to a shutdown.<\/p>\n<p>Many of those who receive government help with their health insurance premiums under the 2021 changes are middle class families with household incomes in the six figures. But with housing, property taxes and other costs so high on Long Island, those families would struggle to pay hundreds of dollars each month in market-rate health insurance premiums, said Vanessa Baird-Streeter, president and CEO of the nonprofit Health and Welfare Council of Long Island.<\/p>\n<p>&#8220;These are our middle-income individuals that either do not have health insurance through their employer, because the employer is small, or they are an independent contractor, or they just have subpar insurance through their employer, and they want to ensure that they have the appropriate insurance to address their health issues,&#8221; she said.<\/p>\n<p>The ACA has always subsidized premiums for people below certain incomes. The 2021 changes increased the amount of those subsidies for people across income levels and raised eligibility levels, including for the first time people with incomes 400% or more above the federal poverty level \u2014 $62,600 for an individual or $128,600 for a family of four nationally.<\/p>\n<p>The average person or family nationwide that receives enhanced subsidies under the 2021 law would see their premiums more than double, <a href=\"https:\/\/www.kff.org\/affordable-care-act\/aca-marketplace-premium-payments-would-more-than-double-on-average-next-year-if-enhanced-premium-tax-credits-expire\/\" rel=\"nofollow noopener\" target=\"_blank\">according to an analysis<\/a>\u00a0released Sept. 30 by San Francisco-based health research organization KFF.<\/p>\n<p>The 70,000 Long Islanders earning\u00a0up to 250% of the poverty level, but making too much for Medicaid, paid $0 premiums through a federally funded state program <a href=\"https:\/\/www.newsday.com\/news\/region-state\/new-york-insurance-cuts-tndk9449\" rel=\"nofollow noopener\" target=\"_blank\">that is being phased out<\/a> because funding is being eliminated. If the subsidies are extended, they&#8217;ll still pay something, but less than if the enhanced aid expires.<\/p>\n<p>Highest earners would see biggest increase<\/p>\n<p>The lower the income, the higher the percentage of the premium is generally paid for by the subsidy, so low- and lower-middle-income people would generally face the biggest percentage increases, said Matt McGough, an ACA analyst for KFF. People with higher incomes would often see the largest dollar amount increases, he said.<\/p>\n<p>Generally, the ceiling for subsidies is at about 550% \u2014 $176,825 for a family of four \u2014 to 600% of the poverty level. For example, a\u00a0family of four in Melville\u00a0with a $176,825 household income would see their premiums for the cheapest ACA plan\u00a0jump 131%, from $8,829 a year to $20,423 a year, according to a KFF online calculator.<\/p>\n<p>&#8220;People are going to make choices \u2014 choices between groceries and health insurance premiums, choices between rent or mortgage and health insurance premiums,&#8221; Baird-Streeter said.<\/p>\n<p>Many may choose to forgo insurance, said David Nemiroff, president and CEO of Harmony Healthcare, which runs nine nonprofit health centers in Nassau.<\/p>\n<p>&#8220;If they can\u2019t afford health insurance and become uninsured, we will take care of them,&#8221; he said. But, he said, &#8220;it&#8217;ll become increasingly challenging to do that financially&#8221; unless the organization receives more state and federal grants to help subsidize care.<\/p>\n<p>Political sides<\/p>\n<p>Gillibrand blamed Republicans for the government shutdown and said while &#8220;Democrats are ready to negotiate.\u00a0&#8230; Republicans are refusing to come to the table.&#8221;<\/p>\n<p>Long Island\u2019s two Republican congressmen, Reps. Andrew Garbarino (R-Bayport) and Nick LaLota (R-Amityville) blamed Senate Democrats for voting against a bill that would have kept the government open.<\/p>\n<p>&#8220;Discussions around the premium tax credits will be had when Senate Democrats reopen the government,&#8221; Garbarino said in a statement. &#8220;These policies are intricate and require time and thoughtful discussion to reach compromise.&#8221;<\/p>\n<p>Gillibrand said there\u2019s little time left to reach an agreement, because ACA open enrollment begins Nov. 1.<\/p>\n<p>LaLota said in a statement he <a href=\"https:\/\/www.newsday.com\/long-island\/politics\/suozzi-obamacare-c3v8dhie\" rel=\"nofollow noopener\" target=\"_blank\">supports a bill<\/a> sponsored by Rep. Jen Kiggans (R-Va.) to extend the subsidies for a year. Rep. Tom Suozzi (D-Glen Cove) is the lead Democratic sponsor of that bill, which Democratic House Minority Leader Hakeem Jeffries Tuesday called &#8220;a laughable proposition&#8221; because enrollees should get these benefits permanently.<\/p>\n<p>On Wednesday, he softened his opposition, and his harsh criticism of lawmakers supporting the compromise, stating, &#8220;At the end of the day the caucus in good faith will evaluate anything presented by the Senate.&#8221;<\/p>\n<p>Newsday\u2019s Billy House contributed to this story.<\/p>\n<p><img alt=\"David Olson\" loading=\"lazy\" width=\"88\" height=\"104\" decoding=\"async\" data-nimg=\"1\" style=\"color:transparent\"  src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2025\/10\/1760040247_232_image\"\/><\/p>\n<p>\n\tDavid Olson covers health care. He has worked at Newsday since 2015 and previously covered immigration, multicultural issues and religion at The Press-Enterprise in Southern California.<\/p>\n","protected":false},"excerpt":{"rendered":"Hanging in the balance as the federal government shutdown entered its ninth\u00a0day Thursday are health insurance plans for&hellip;\n","protected":false},"author":2,"featured_media":212529,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[59],"tags":[54698,97,252,253],"class_list":["post-212528","post","type-post","status-publish","format-standard","has-post-thumbnail","category-health-care","tag-child-and-teen-health","tag-health","tag-health-care","tag-healthcare"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/212528","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/comments?post=212528"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/212528\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media\/212529"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media?parent=212528"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/categories?post=212528"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/tags?post=212528"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}