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House GOP Unveils Draft Health Bill Package

The bill aims to reduce premiums by expanding association health plans, increasing pharmacy benefit manager transparency, and restoring cost-sharing reduction payments starting in 2027.

  • Last Friday, House Republican leaders released a 111-page health bill omitting an extension of enhanced Affordable Care Act premium tax credits, with the House Rules Committee set to consider it Tuesday.
  • The package combines expanded association health plans and pharmacy benefit manager transparency, while proposing to restart cost-sharing reduction payments to lower qualified households’ out-of-pocket costs.
  • In committee, lawmakers moved the bill forward by a 6-4 margin, while KFF estimated that lapsing credits would raise premiums 114% or $1,016 for 24 million people, and Rep. Brian Fitzpatrick said `I haven't seen anything objectionable yet`.
  • About 20 million people who rely on the enhanced ACA premium tax credits face a lapse Dec. 31, while vulnerable House Republicans from swing districts warn this omission risks political fallout.
  • House Speaker Mike Johnson said a House vote could increase pressure to revisit subsidy policy next month, while CBO scored the measure as reducing the deficit and premiums.
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House plans Wednesday vote on Republican health care bill

The bill proposes reducing health insurance premiums through cost-sharing reduction payments, among other reforms.

·United States
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Roll Call broke the news in Washington, United States on Monday, December 15, 2025.
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