Overview
- The GOP-controlled Senate is expected to vote Thursday on Democrats’ clean three-year extension of enhanced Affordable Care Act tax credits, a measure unlikely to reach the 60 votes needed to advance.
- Republican leaders have panned the clean extension as unserious and are pressing for income caps, anti-fraud provisions and abortion-funding safeguards, with no single plan commanding conference-wide support.
- House Speaker Mike Johnson says Republicans will unveil a health care proposal this week, as Democrats pursue a discharge petition and a bipartisan House group pushes a CommonGround 2025 framework with a one-year extension, income limits, and fraud measures.
- GOP alternatives under discussion include directing funds into Health Savings Accounts, backed by President Trump, and the CARE Act plan to phase out subsidies for higher earners and require a $25 minimum monthly premium.
- KFF reports many enrollees could see premiums more than double and one in four say they are very likely to go uninsured if the enhanced credits lapse, while CBO projects millions more uninsured over time.