Overview
- Senate Democrats will force a vote on a clean three-year extension of the enhanced premium tax credits, an effort that is not expected to clear the 60-vote threshold.
- Republicans, backed by President Donald Trump, will press a vote on the Crapo–Cassidy plan to deposit $1,000–$1,500 into health savings accounts for eligible bronze or catastrophic plan enrollees in 2026 and 2027, with limits up to 700% of the poverty level and restrictions on abortion and gender‑transition care.
- House Speaker Mike Johnson outlined GOP options to address health costs that exclude extending the ACA credits, and leaders say they will bring select measures to the floor next week without a unified plan.
- Nonpartisan analyses warn that letting the credits expire would more than double average premiums for roughly 22 million subsidized enrollees and could push millions off coverage, with Covered California projecting especially steep increases for Latino and Black residents.
- With both Senate proposals facing the filibuster and House Republicans resisting an extension, the risk is rising that the enhanced credits will lapse on December 31.