WASHINGTON — Republican leaders’ refusal to consider extending Affordable Care Act subsidies set to expire at year’s end is weird, according to at least one senior GOP senator, after the issue erupted and fueled high drama in the House this week.
“It's just strange,” Sen. Mike Rounds (R-SD), who sits on the Banking, Housing and Urban Affairs Committee, told congressional reporters.
“We had the vote last week, and … now the House passed [its own measure], and we're going to have a vote, and of course, that’s not going to go anywhere.
“There could have been a one-year extension. Maybe there was a chance to have enough votes … we need 60 votes here. I want to vote on something that can actually pass, and I don't know why that's not our plan.”
No one really knows what Republicans’ plan is — other than to craft a plan.
While swing-state Republicans have been freaking out — especially the four endangered moderates who crossed Speaker Mike Johnson when they formally crossed party lines Wednesday — GOP leaders have, basically, shrugged off widespread fears of Obamacare subsidies expiring on New Years, leaving millions of Americans bracing for brutal rate hikes.
Most Republicans remain unmoved, even after Democrats have successfully raised alarm bells about the unaffordable rate hikes for months, including by using the issue as fuel for the longest government shutdown in history.
Just last week, the GOP-led Senate failed to pass dueling health-care bills. In response to a Democratic measure to extend COVID-era insurance subsidies another three years, rank-and-file Republicans cobbled together a last-minute measure aimed at promoting health savings accounts over Obamacare exchanges.
Both failed by a vote of 51-48 in the chamber where 60 votes are needed to pass most bills.
Then the four moderate House Republicans dramatically crossed the aisle, joining a Democratic-led discharge petition to force a vote on a Democratic measure that would extend subsidies for three years.
Reps. Brian Fitzpatrick (R-PA), Mike Lawler (R-NY) , Rob Bresnahan (R-PA) and Ryan Mackenzie (R-PA) were the members who chose to cross Speaker Johnson, underlining the Louisianan’s lack of control of his party ahead of next year’s midterm elections.
“We have worked for months to craft a two-party solution to address these expiring health-care credits,” Fitzpatrick said in a statement.
“Our only request was a floor vote on this compromise, so that the American People’s voice could be heard on this issue. That request was rejected ... Unfortunately, it is House leadership themselves that have forced this outcome.”
The Democratic proposal will now get a vote in the new year — but only after subsidies lapse.
Observers noted that in July, three of the four Republican rebels voted for the “One Big Beautiful Bill,” the GOP budget measure which contained massive cuts to spending on Medicaid, another key health-care resource for millions of Americans. Fitzpatrick said no then too.
This week, the picture grew more confusing still, as a separate House GOP health bill passed.
Seen as barely even a bandaid, as it doesn’t address the expiring subsidies, it has no chance of gaining 60 votes in the Senate, according to South Dakota Sen. Rounds.
‘24 million people’
Gridlock aside, it seems most everyone on Capitol Hill loves a bit of political drama — even at the end of a year of relentless chaos.
“This is huge,” Rep. Rashida Tlaib (D-MI) marveled to Raw Story after learning that a fourth Republican had signed off on the discharge petition.
“This is, like, huge for my district.”
The member of the progressive “Squad” of lawmakers was far from alone.
“I think it's a big victory, and it's a victory for the American people,” former House Majority Leader Rep. Steny Hoyer (D-MD) told Raw Story.
“We need to pass that, put it over in the Senate and see whether they have the courage to do what's right.”
Securing a House vote does nothing to dislodge Republicans on the other side of the Capitol, though.
And Senate Majority Leader John Thune is insulated from House rules, including on discharge petitions.
There are Senate Republicans who like their moderate House colleagues fear the electoral repercussions of failing to extend subsidies, but nowhere near enough to buck leaders and secure an extension.
Still, with the 2026 midterms just around the corner, Rep. Glenn Ivey (D-MD) and other Democrats are celebrating the four Republican moderates’ decision to buck Speaker Johnson and force a vote on extending health insurance subsidies.
Like Sen. Rounds, Ivey also marveled at the larger GOP’s continued opposition to helping so many Americans, however dire their need.
Despite “24 million people” facing a financial cliff when ACA subsidies expire, Ivey told Raw Story, “Republican leaders weren't listening to that.
“I don't know what they were listening to. I just don't understand what they're doing, and in the Senate they’re saying they’re not going to move something forward anyway.
“So I'm like, ‘Worst of all possible worlds, from a Republican standpoint.’
“We hit 218 so we got the votes to move [the discharge petition], but they don't want to bring it to the floor, and then the Senate Republicans want to block it. It's crazy.”