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2d ago

Moderate Republicans Join Democrats to Force House Vote on Extending ACA Subsidies

House rules delay the vote until January, leaving enhanced credits likely to lapse on Dec. 31.

Speaker of the House Mike Johnson, R-La., meets with reporters as Republicans struggle with a plan to address growing health care costs, at the Capitol in Washington, Tuesday, Dec. 16, 2025. (AP Photo/J. Scott Applewhite)
U.S. House Speaker Mike Johnson (R-LA), with Rep. Marionette Miller-Meeks (R-IA), Rep. Whip Tom Emmer (R-MN) and Rep. Steve Scalise (R-LA), holds a press conference in the U.S. Capitol Visitor Center in Washington, D.C., U.S., December 16, 2025. REUTERS/Jonathan Ernst
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Speaker of the House Mike Johnson holds a news conference at the U.S. Capitol on Dec. 16, 2025, to discuss the GOP's agenda.

Overview

  • Speaker Mike Johnson declined to allow a vote on an extension, and the House passed a GOP health bill without the subsidies by a 216–211 vote.
  • Four Republicans — Brian Fitzpatrick, Mike Lawler, Robert Bresnahan and Ryan Mackenzie — signed a Democratic discharge petition, reaching 218 to compel a vote on a three-year extension.
  • Republican leaders blocked an immediate vote on Wednesday, and the petitioned bill must wait seven legislative days before it can be considered.
  • With the enhanced credits expiring at month’s end, millions of marketplace enrollees are expected to see sharply higher premiums starting in January, affecting roughly 22–24 million people.
  • CBO and JCT estimate the House GOP package would cut deficits by $35.6 billion but leave about 100,000 fewer people insured per year from 2027 to 2035, while senators signal any compromise will wait until January.