Jimmy Pang has spent the past few months trying to map out a long-term plan to keep his health care while growing his physical therapy practice in San Diego.
It’s a conundrum millions of small business owners and self-employed Americans are now facing. Health care through the federal Affordable Care Act is getting more expensive, and the tax credits that helped make it affordable will shrink or disappear in 2026. The change comes after a Republican-led Congress refused to extend the enhanced credits despite pleas from voters and a sustained push from Democrats that shuttered the government.