Overview
- The Senate will vote Thursday on Democrats’ three-year extension and the Crapo–Cassidy HSA plan, with both expected to fall short of the 60 votes needed.
- House Speaker Mike Johnson said the House will not bring a clean extension to the floor and plans to advance a Republican health-care package next week.
- About 22 million to 24 million people who use ACA marketplaces could see sharp premium hikes or risk coverage losses when the enhanced tax credits lapse on Jan. 1.
- Republicans are split between short-term renewals and HSA-style replacements that include restrictions on abortion and gender-transition care, leaving no unified approach.
- GAO findings of fraud risk in the enhanced credit system are driving GOP demands for reforms, but discharge-petition talk and cross-party frameworks have not produced a viable path before the deadline.