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Senate Rejects ACA Fixes as House Moderates Move to Force Vote Before Year-End Subsidy Cliff

Independent analyses warn of steep premium hikes and coverage losses if expanded credits expire on Dec. 31.

Overview

  • Both Senate plans failed on near party-line 51–48 votes, sinking Democrats’ three‑year extension and the GOP CrapoCassidy proposal to route money into health savings accounts tied to bronze and catastrophic plans.
  • KFF projects average annual payments for subsidized enrollees would jump about 114% without the enhanced credits, threatening affordability for the roughly 21–24 million people covered through ACA marketplaces.
  • California officials report new Covered California sign‑ups are down more than 30% year over year and estimate about 400,000 current enrollees could be priced out if the enhanced subsidies lapse.
  • A growing bloc of House Republicans from swing districts has joined bipartisan discharge petitions led by Reps. Brian Fitzpatrick and Josh Gottheimer to force a vote on extensions with reforms, which require 218 signatures to succeed.
  • Speaker Mike Johnson says the House will vote next week on a health package focused on lowering costs, and ABC News reports an extension of the enhanced subsidies is not currently expected to be included.