Health Care Policy

The House is set to vote this week on a GOP health-care package that omits an extension of the enhanced ACA premium tax credits, even as moderates and bipartisan groups press for a short-term fix and analysts warn millions could face much higher premiums if the subsidies lapse. Speaker Mike Johnson has declined to guarantee a House vote on an extension, prompting discharge-petition threats and intra-GOP splits — while Rep. Kevin Kiley and some other Republicans say they support a temporary extension amid ongoing shutdown and appropriations negotiations in the Senate.

Sen. Susan Collins and Sen. Bernie Moreno unveiled a GOP proposal to extend enhanced ACA premium tax credits for two years with a $200,000 income cap, a $25 minimum monthly premium to end zero‑premium plans and added verification/anti‑fraud guardrails. The announcement sets up dueling Senate votes Thursday against Democrats’ clean three‑year extension — backed by Schumer but expected to face steep hurdles — as Republicans also press alternative fixes (including HSA proposals and Hyde/eligibility riders) amid sharp partisan and intra‑party divisions.