Millions of Americans risk losing subsidies next year that help them pay for health insurance following President-elect Donald Trump's election win and Republicans' victory in the Senate. The subsidies — which expire at the end of 2025 — came out of the 2021 American Rescue Plan, and increased the amount of assistance available to people who want to buy health insurance through the ACA. If the subsidies aren't extended an estimated 4 million people will lose their coverage in 2026 because they won't be able to afford it.