Overview
- Senate Democrats scheduled a Thursday vote on a clean three-year renewal of enhanced Affordable Care Act tax credits, a measure expected to fall short of the 60 votes needed.
- Sens. Bill Cassidy and Mike Crapo unveiled a plan to replace subsidies with pre-funded Health Savings Accounts — $1,000 for ages 18–49 and $1,500 for ages 50–65 — tied to purchasing bronze or catastrophic plans and including abortion and Medicaid-related restrictions, a model backed by President Trump.
- GOP Sens. Susan Collins and Bernie Moreno proposed a two-year extension that adds an income cap around $200,000 and a $25 minimum monthly premium to eliminate zero-premium plans viewed as prone to abuse.
- In the House, a bipartisan bill led by Reps. Brian Fitzpatrick and Tom Suozzi would extend the enhanced subsidies for two years, add consent requirements to prevent unauthorized plan changes, rein in PBM profits, and broaden HSA access.
- Republican leaders have not committed to bringing a GOP plan to the floor, while KFF and CBO project that letting the enhancements expire Dec. 31 would sharply raise premiums and increase the uninsured, intensifying pressure from swing-district lawmakers.