U.S. Congress and Intra-GOP Tensions

Open enrollment ends in most states as enhanced ACA premium tax credits have lapsed, with sign‑ups down to 22.8 million—about 1.4 million fewer than a year ago—and analysts warn premiums for subsidy recipients could more than double (KFF estimates a ~114% jump), a change the CBO says could ultimately leave roughly 4 million people uninsured without congressional action. The House advanced a three‑year "clean" extension in a 221–205 procedural vote after several Republicans crossed party lines, but Senate negotiations are near collapse over proposed limits on abortion coverage—pressure from anti‑abortion groups has complicated a deal—leaving a fix uncertain even though Congress can still extend subsidies retroactively and several states have extended enrollment deadlines.