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Moderate Republicans Join Democrats to Force House Vote on Extending ACA Subsidies

House rules delay the vote until January, leaving enhanced credits likely to lapse on Dec. 31.

Overview

  • Speaker Mike Johnson declined to allow a vote on an extension, and the House passed a GOP health bill without the subsidies by a 216–211 vote.
  • Four RepublicansBrian Fitzpatrick, Mike Lawler, Robert Bresnahan and Ryan Mackenzie — signed a Democratic discharge petition, reaching 218 to compel a vote on a three-year extension.
  • Republican leaders blocked an immediate vote on Wednesday, and the petitioned bill must wait seven legislative days before it can be considered.
  • With the enhanced credits expiring at month’s end, millions of marketplace enrollees are expected to see sharply higher premiums starting in January, affecting roughly 22–24 million people.
  • CBO and JCT estimate the House GOP package would cut deficits by $35.6 billion but leave about 100,000 fewer people insured per year from 2027 to 2035, while senators signal any compromise will wait until January.