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yesterday

House Approves Three-Year Extension of ACA Premium Credits With 17 GOP Defections

Its fate hinges on a Senate compromise that satisfies GOP demands for guardrails to reach 60 votes.

WASHINGTON, DC - DECEMBER 17: Representatives exit the U.S. Capitol after a house vote on December 17, 2025 in Washington, DC. Four Republicans Representatives join Democrats to sign a petition forcing a vote on legislation that will extend premium tax credits for the Affordable Care Act. (Photo by Heather Diehl/Getty Images)
President Trump returns to the White House after meeting with House Republicans
House Minority Leader Hakeem Jeffries speaks alongside Rep. Pete Aguilar and Rep. Katherine Clark during a news conference after a vote on health care subsidies, on January 8, 2026, in Washington, D.C.
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Overview

  • The House cleared a clean, three-year renewal of the enhanced marketplace tax credits on a 230–196 vote.
  • Democrats forced the vote with a discharge petition signed by a handful of Republicans, bypassing Speaker Mike Johnson.
  • Seventeen Republicans backed the bill, including Zach Nunn and Derrick Van Orden, alongside swing-district members like Mike Lawler and Brian Fitzpatrick.
  • The credits expired Dec. 31, driving steep premium increases for tens of millions of marketplace enrollees, according to independent analyses.
  • CBO projects the plan would add about $80.6 billion to deficits over 10 years and increase coverage by millions, while Senate Republicans seek income limits, nominal enrollee payments and expanded HSAs.