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Senate Sets Vote on ACA Subsidy Extension as Year-End Expiration Looms

Republican resistance to a clean three-year renewal leaves the outcome in doubt.

Overview

  • Senate Democrats scheduled a vote this week on a clean three-year extension of enhanced Affordable Care Act premium tax credits, a vote promised in the deal to reopen the government.
  • Republican leaders have labeled the clean extension a non-starter and are pressing for changes such as an income cap on eligibility.
  • House Democrats launched a discharge petition to force a vote on the three-year extension but have not secured any Republican signatures and need four to succeed.
  • A bipartisan House group unveiled the CommonGround 2025 framework that seeks a two-year path including a one-year extension with income caps, anti-fraud provisions, and an open enrollment window through March 26, with backers urging votes by Dec. 18.
  • Speaker Mike Johnson says he will bring a proposal to the House floor without specifying which plan, as some Republicans prefer allowing the subsidies to lapse and President Trump has offered little direction beyond endorsing HSA-style approaches.