House takes step toward extending Affordable Care Act subsidies, overpowering GOP leadership
House passed a procedural motion to advance a mostly clean three-year ACA premium subsidy extension to protect 22 million enrollees from steep premium hikes, despite GOP leadership opposition.
- On Wednesday, Jan. 7, 2026, the U.S. House of Representatives voted 221-205 to advance a measure reviving an enhanced ACA subsidy that expired last month, with nine Republicans joining Democrats.
- Because premiums were set to spike on Jan. 1, roughly 22 million marketplace enrollees faced higher costs, prompting lawmakers to act before the subsidies expired at the end of 2025.
- Notably, nine House Republicans, including Rep. Mike Lawler of New York and Reps. Brian Fitzpatrick, Robert Bresnahan, and Ryan Mackenzie of Pennsylvania, joined Democrats on the procedural motion Wednesday.
- If the House approves the measure it would move to the Senate, which requires 60 votes to advance, but President Donald Trump and Senate leaders oppose a straight extension, making enactment unlikely.
- With open enrollment ending Jan. 15, senators are discussing a two-year extension proposal with income caps, Health Savings Account expansions, and possibly extending enrollment to March 1.
190 Articles
190 Articles
Nearly 1M impacted by tussle over Affordable Care Act extension
(The Center Square) – An estimated nearly 1 million North Carolinians accessing insurance coverage are being impacted by the ongoing battle for expanded coverage in the Affordable Care Act.
The US House of Representatives on Thursday defied Republican leadership and approved a bill by 230 votes to 196 that would extend the validity of subsidies for Americans' health insurance by three years. The subsidies expired on January 1.
Minneapolis, United States.- The House of Representatives passed a law that would extend expired health care subsidies to those who get coverage through the Affordable Care Act, while renegade Republican legislators essentially joined all Democrats in voting for the bill. With 230 votes to 196, the vote on the matter took place after a handful of Republicans signed what is commonly known as a "disclaimer petition" to unblock the debate, ignoring…
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