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House GOP Launches Health Plan To Politely Not Pay Subsidies

KEY POINTS

  • •House Republicans unveiled a health plan Friday without extending ACA subsidies, aiming to lower costs through other GOP proposals.
  • •A vote on a subsidy extension amendment is expected, but unlikely to pass as Democrats want a clean extension.
  • •The plan includes expanding association health plans and pharmacy benefit manager transparency while cutting some subsidies patients currently receive.

This Friday, House Republicans heroically unveiled a health care plan that politely declines to extend enhanced Affordable Care Act subsidies, because who needs affordability when you have GOP ideas, like expanding association health plans where employers can hold hands and purchase coverage together. Though aides expect an amendment vote on subsidies next week, it’s unlikely to pass because Democrats want a ‘clean’ extension — i.e., no GOP frills. There’s also a mysterious omission of the Senate GOP’s $1,000-$1,500 Health Savings Account offer, probably because nothing screams small business support like vague transparency rules for drug middlemen and some watered-down cost-sharing reductions that simultaneously lower premiums but also cut subsidies. The grand finale? House Republicans will get to say they tried, even if the Senate doesn’t RSVP to this party, and millions brace for subsidy expiration come January.

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Source: Axios | Published: 12/12/2025 | Author: Peter Sullivan