Health Care Policy

The House on Thursday approved a three‑year extension of enhanced ACA premium tax credits, passing the bill 230–196 after Democrats forced the measure to the floor via a discharge petition and 17 House Republicans broke with leadership to back it. The vote came amid months of brinkmanship over expiring subsidies — including a record shutdown and stalled Senate talks — and followed reports that President Trump privately urged GOP lawmakers to be “a little flexible” on abortion‑related restrictions tied to subsidy negotiations.

President Trump’s "Great Healthcare Plan" is a high‑level four‑pillar framework — drug pricing, insurance reforms, price transparency and fraud protections — that the White House says would redirect federal payments “directly to you,” potentially by routing funds into health savings accounts (HSAs), but it provides no legislative text or operational details. Experts and Democrats warn it does not address the lapse of enhanced ACA premium subsidies and could leave lower‑income and ACA enrollees worse off, since HSAs skew to higher‑income users and the approach could encourage non‑comprehensive coverage that undermines ACA protections.