Many provisions of the 2017 Tax Cuts and Jobs Act (TCJA) are due to sunset at the end of 2025, presenting challenges for Republicans needing to strategize about extending the cuts.
According to the Committee for a Responsible Federal Budget, renewing tax breaks without cutting federal spending could add nearly $4 trillion to the nation's deficit.
Larry Levitt emphasizes that with key programs like Social Security and Medicare off the table, "Medicaid, which is the next largest source of federal spending, and the ACA as prime targets for spending cuts."
Despite previous commitments, Trump's outright repeal of the ACA now seems unlikely as he focuses on making tax cuts permanent and easing health care system burdens.
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