Overview
- Senators plan Thursday votes on a Democratic bill to extend enhanced marketplace tax credits for three years and a GOP Crapo–Cassidy alternative that redirects funds to Health Savings Accounts with $1,000 for adults under 50 and $1,500 for those 50–64.
- Majority Leader John Thune said Republicans will bring the Crapo–Cassidy plan for a side-by-side vote, though he stopped short of guaranteeing full GOP support as both measures face the filibuster threshold.
- The Republican proposal would limit HSA use for abortion or gender transition services, steer eligible enrollees toward bronze or catastrophic plans, and has been criticized by Democrats and experts as insufficient to offset higher costs.
- In the House, a bipartisan Fitzpatrick–Suozzi bill proposes a two-year extension of the enhanced credits with PBM reforms and expanded HSA access, as Democrats pursue a discharge petition and Speaker Mike Johnson weighs next steps.
- Other GOP ideas include a Collins–Moreno two-year extension with a $200,000 income cap and a $25 minimum premium, while independent analyses warn average premiums could jump about 26% and millions could lose coverage if the subsidies expire.