Shayela Ankenbauer is not your typical mother. As the co-owner of a tattoo shop in Lafayette, Tennessee, and the mother of twin boys with complex medical needs, Shayela understands what it means to juggle work, parenting, and the high cost of healthcare. For her and her husband, affordable coverage through the Marketplace—made possible by the Enhanced Premium Tax Credits (EPTCs)—is the only thing that keeps her insured. “Before getting on the Marketplace, we didn’t have insur

On July 4, 2025, President Trump signed H.R. 1 into law, a sweeping budget reconciliation bill that includes deep cuts to Medicaid and...