The Senate is set to vote later this week on a three-year extension of Affordable Care Act subsidies that Republicans oppose. The G.O.P. has yet to coalesce around an alternative.

© Kenny Holston/The New York Times

People who have health insurance under the Affordable Care Act will face higher deductibles and higher premiums.

© Alex Welsh for The New York Times

Starting next year, people who became disabled by age 46 will be eligible to open ABLE accounts. The accounts have been slow to catch on, partly because the current age limit is 26.