Federal Shutdown and Policy Uncertainty Threaten Healthcare Access for Montgomery County Residents Montgomery County Executive Marc Elrich warned that rising Affordable Care Act (ACA) premiums combined with federal policy uncertainty pose a critical threat to healthcare coverage for thousands of county residents. In a media briefing on Wednesday November 12, Elrich expressed concern that many residents struggling with existing financial pressures may abandon health insurance entirely due to unaffordable premium increases. The County Executive identified a compounding crisis: 50,000 Montgomery County households already spend approximately half their income on rent, leaving minimal financial flexibility to absorb additional healthcare costs. As ACA

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