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yesterday

Senate Holds Dueling ACA Votes With Both Measures Expected to Fail

Failure would let enhanced tax credits lapse on Dec. 31, triggering steep premium increases with widespread coverage losses.

Speaker of the House Mike Johnson discusses affordability at a press conference on Wednesday, at the US Capitol in Washington, DC. The Republican leaders discussed healthcare plans with a vote regarding an extension of the ACA subsidies looming.
Rep. Brian Fitzpatrick, R-Pa., speaks at a news conference, Jan. 31, 2023, on Capitol Hill in Washington.
FILE - Sen. Mike Crapo, R-Idaho, left, and Sen. Bill Cassidy, R-La., emerge from a GOP meeting at the Capitol in Washington, Jan. 28, 2020. (AP Photo/J. Scott Applewhite, file)
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Overview

  • Democrats seek a three-year renewal of the expanded Affordable Care Act premium tax credits, while Republicans back the Cassidy–Crapo plan that ends the credits and offers one-time Health Savings Account deposits.
  • The GOP proposal would provide $1,000 for adults 18–49 and $1,500 for those 50–64, limited to bronze or catastrophic marketplace plans, with restrictions on abortion and gender-affirming care and immigration status verification.
  • Both bills are widely expected to fall short of the 60 votes needed in the Republican-controlled Senate, leaving little time to craft an alternative before year’s end.
  • House Speaker Mike Johnson says the House will not vote to extend the enhanced credits and plans to advance a Republican package, while moderates pursue discharge petitions to force extension votes.
  • Analyses warn that letting the enhancements expire could more than double average premiums and push millions off coverage, and experts note the GOP plan would not avert near-term premium spikes.