House Republicans unveil health care package that does not extend ACA subsidies ahead of next week's vote

House Republicans -- led by Speaker Mike Johnson -- unveiled Friday a narrow health care package to address rising costs, but the plan does not extend the expiring enhanced Affordable Care Act subsidies.The GOP proposal -- which will receive a vote on the House floor sometime next week -- would expand the availability of association health plans and what are known as "CHOICE arrangements"; impose new transparency requirements on pharmacy benefit managers to lower drug costs; and appropriate money for cost-sharing reductions to reduce premiums in the individual market. Association health plans allow employers to band together to purchase coverage.Notably, the 111-page measure would not funnel additional money into health savings accounts.Speaker of the House Mike Johnson (R-LA) discusses rising health insurance premiums as U.S.House Majority Leader Steve Scalise (R-LA) (L) and House Majority Whip Tom Emmer (R-MN) look on during a press conference in the U.S.
Capitol Building on December 10, 2025 in Washington, DC.The Republican leaders discussed healthcare plans with a vote regarding an extension of the ACA subsidies looming.Heather Diehl/Getty ImagesGrowing number of House Republicans sign on to effort to force vote on ACA subsidies -- defying Speaker Johnson"While Democrats demand that taxpayers write bigger checks to insurance companies to hide the cost of their failed law, House Republicans are tackling the real drivers of health care costs to provide affordable care, increase access and choice, and restore integrity to our nation's health care system for all Americans," Johnson said in a statement Friday.Republicans are also discussing staging a vote on an amendment to the health care package that would extend the ACA subsidies.
The specifics of the amendment are still being discussed, according to GOP leadership aides.The Rules Committee plans to mark up the bill at 2 p.m.on Tuesday.
The House would then have to vote on an amendment related to extendin...