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6h ago

House Sets Vote on GOP Stopgap as Democrats Unveil Rival Health-Care Plan

The fight turns on expiring ACA premium aid, with the CBO warning that missing a Sept. 30 extension could depress enrollment, risking coverage for up to 2 million people in 2026.

WASHINGTON, DC - JANUARY 26: Microphones sit on a podium before the start of a news conference with Democratic lawmakers about the Biden administrations border politics, outside the U.S. Capitol on January 26, 2023 in Washington, DC. A group of 77 Democratic lawmakers sent a letter to President Joe Biden this week criticizing his administrations policies restricting asylum access for migrants crossing the southern border. (Photo by Drew Angerer/Getty Images)
As lawmakers debate a government funding extension, Speaker of the House Mike Johnson, R-La., awaits the arrival of the leader of the Orthodox Christian Church, Ecumenical Patriarch Bartholomew for a meeting, at the Capitol in Washington, Wednesday, Sept. 17, 2025. (AP Photo/J. Scott Applewhite)
Speaker of the House Mike Johnson, R-La., talks about the killing of conservative activist Charlie Kirk and defended employers who take action against their workers whose comments go too far, at the Capitol in Washington, Tuesday, Sept. 16, 2025. (AP Photo/J. Scott Applewhite)
Senate Minority Leader Chuck Schumer, D-N.Y., left, and House Minority Leader Hakeem Jeffries, D-N.Y., hold a news conference on the GOP reconciliation bill, at the Capitol in Washington, Wednesday, June 11, 2025. (AP Photo/J. Scott Applewhite)

Overview

  • House Republicans advanced a continuing resolution through Nov. 21 that omits enhanced ACA premium subsidies and adds roughly $88 million for security for Congress, the Supreme Court and executive agencies.
  • Democratic leaders released a competing bill through Oct. 31 that would permanently extend the ACA subsidies, roll back Medicaid cuts from the GOP reconciliation law and restore funds the administration has withheld.
  • The House is preparing a vote on the GOP bill, but Senate passage would require at least seven Democratic votes to reach the 60-vote threshold, a tall order as Democratic leaders oppose the proposal.
  • The Congressional Budget Office said a subsidy extension by Sept. 30 is critical because open enrollment begins Nov. 1, warning delayed action could reduce sign-ups and leave up to 2 million people uninsured in 2026.
  • Speaker Mike Johnson and Senate Leader John Thune say the subsidy issue should be addressed later, while Chuck Schumer and Hakeem Jeffries insist on talks now as shutdown odds rise with both sides dug in.