Overview
- After failing to clear the Senate’s 60‑vote threshold last week, both a Democratic three‑year extension of ACA subsidies and a Republican HSA-centered plan stalled, shifting the fight to the House.
- Speaker Mike Johnson’s package would expand association health plans, fund cost-sharing reductions and require PBM transparency, but it omits the enhanced premium tax credits set to expire.
- House leaders plan to allow a floor vote on an amendment modeled on Rep. Brian Fitzpatrick’s two‑year extension, though the language remains in flux and its prospects are uncertain.
- Moderates are pursuing discharge petitions to force votes on extension bills from Reps. Brian Fitzpatrick and Josh Gottheimer, but current signatures fall well short of the 218 needed.
- Nonpartisan analyses warn premiums could more than double on average for roughly 22 million people if the enhancements lapse, with Dec. 15, Dec. 31 and Jan. 15 deadlines limiting any near‑term consumer protections.