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House Advances GOP Bill to End ACA Subsidies, but Unlikely to Pass Senate

Benefits Brief - News Team
Published
January 5, 2026

The U.S. House of Representatives passes a Republican healthcare bill, ensuring enhanced Affordable Care Act subsidies will expire at the end of the year.

Credit: Outlever

Key Points

  • The U.S. House of Representatives passes a Republican healthcare bill, ensuring enhanced Affordable Care Act subsidies will expire at the end of the year.

  • Some experts predict nearly 20 million enrollees could see their health insurance premiums more than double.

  • The bill is considered dead on arrival in the Senate, effectively punting the subsidy issue into 2026 and creating immediate financial uncertainty for millions of families.

The U.S. House of Representatives narrowly passed the Republican-led "Lower Health Care Premiums for All Americans Act," a move that all but guarantees enhanced Affordable Care Act subsidies will expire at the end of the year.

  • Sticker shock incoming?: Without the subsidy extension, experts say premiums on the ACA exchanges are expected to more than double for nearly 20 million enrollees.

  • A house divided: Though the bill includes measures to lower costs, it's considered dead on arrival in the Senate, which already voted down a separate three-year subsidy extension. The vote also highlighted a rift within the GOP, as four moderates broke ranks to back a long-shot Democratic effort to force a future vote on the matter.

The House vote effectively punts the subsidy issue into 2026, creating a high-stakes political battleground while leaving millions of families facing immediate financial uncertainty. Meanwhile, the ongoing subsidy uncertainty is already fueling predictions of a surge in demand for short-term and supplemental health plans.