Heather Cox Richardson | Letters from an American
December 17, 2025
This morning, four vulnerable Republicans signed onto the discharge petition all House Democrats have signed to force Speaker Mike Johnson (R-LA) to bring a bill to extend the premium tax credits for purchasing healthcare insurance on the Affordable Care Act (ACA) markets to the floor for a vote. The proposal extends the credits for three years.
Republicans who recognize that the American people overwhelmingly want the extensions have been fighting their colleagues who want to get rid of the ACA and slash government spending in general. Instead of extending the credits, House leadership is proposing a package of policies popular among their conference; the nonpartisan Congressional Budget Office reports that it will drop about 100,000 people a year off health insurance through 2035 but will save the government $35.6 billion.
Without the extension of the premium tax credits, which Republicans permitted to lapse at the end of the year when they passed their July budget reconciliation bill that they call the “One Big Beautiful Bill Act,” the 24 million Americans who buy insurance on the ACA marketplace will see their insurance premiums skyrocket, and millions will lose their health insurance altogether. And yet, Republicans oppose the extensions, which will cost the government about $350 billion over the next ten years. The Republicans’ extension of the 2017 tax cuts in that same bill will cost about $4 trillion over the same period.
Yesterday, Johnson dismissed the members of his conference who wanted to vote on the extension, saying that “many of them did want a vote on this Obamacare covid-era subsidy the Democrats created. We looked for a way to try to allow for that pressure release valve, and it just was not to be.” Representative Mike Lawler (R-NY) told reporters: “This is absolute bullsh*t.”