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Open enrollment for Affordable Care Act coverage began Nov. 1, with enhanced subsidies that Congress renewed expected to cushion the blow of premium increases for millions of Americans, Axios reports. Health costs are steadily climbing due to inflation and a post-pandemic surge of demand for medical services. But the more than 12 million Americans now receiving subsidies will likely benefit from them again in 2023, including those making more than 400% of the federal poverty level.