Overview

• Moderate Republicans including Rep. Brian Fitzpatrick and Sen. Mike Rounds are pushing to extend premium tax credits to prevent steep rate hikes and coverage losses.
• Conservative GOP members such as Rep. Andy Harris and Sen. Ron Johnson oppose prolonging the subsidies, citing their $30 billion annual cost and opposition to Obamacare.
• The Congressional Budget Office and Joint Committee on Taxation estimate making the credits permanent would cost $335 billion over a decade.
• A memo by pollsters Tony Fabrizio and Bob Ward cautions that Republicans could face a political penalty in competitive districts during the 2026 midterms if the credits expire.
• House Speaker Mike Johnson acknowledges the issue is “on the radar,” but no legislative vehicle has been introduced with the December deadline approaching.