Senate Sets Vote on ACA Subsidy Extension as Republicans Split on Alternatives

Democrats will force a floor vote this week on a clean three‑year renewal of enhanced marketplace tax credits, a measure unlikely to reach the 60 votes needed. Republican Senators Susan Collins and Bernie Moreno unveiled a two‑year plan imposing a $200,000 household income cap and a $25 minimum monthly payment to replace zero‑premium plans. President Trump and key GOP senators are pushing to route funds into Health Savings Accounts or direct payments, but Republicans have not coalesced around a single approach. Senate GOP leaders have not committed to bringing any Republican alternative to a vote this week, highlighting continued divisions inside the conference. Analysts and KFF data warn that letting the credits lapse Dec. 31 could drive steep premium increases and coverage losses, intensifying pressure from swing‑district House Republicans for at least temporary relief.