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House Passes Three-Year ACA Subsidy Extension, with 17 Republicans Voting in Favor

The House voted 230-196 to extend ACA premium subsidies for three years, with 17 Republicans joining Democrats; the bill now awaits uncertain Senate approval amid ongoing bipartisan talks.

  • On Thursday, the House of Representatives passed a three-year extension of Affordable Care Act premium subsidies, with 17 House Republicans joining all Democrats to secure 230 votes.
  • Because the enhanced subsidies expired at the end of December, at least 20 million Americans faced rising premiums while ACA marketplace open enrollment runs through January 15.
  • A discharge petition forced the measure to the floor after nine Republicans signed it and four—Reps. Brian Fitzpatrick , Mike Lawler , Rob Bresnahan , and Ryan Mackenzie —pushed it past 218.
  • Now the bill moves to the U.S. Senate, where its future is unclear as Senate Majority Leader John Thune said senators want reforms and a bipartisan Senate working group seeks 60 votes.
  • Politically, the 17 House Republicans from swing districts could shape the 2026 midterm elections, while momentum reflects that the tax breaks helped some 22 million Americans obtain health insurance.
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nhpr broke the news in New Hampshire, United States on Thursday, January 8, 2026.
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