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    Home ยป House Moves to Revive Health Subsidies Amid Policy Tensions
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    House Moves to Revive Health Subsidies Amid Policy Tensions

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    Vote advances despite opposition from House leadership

    The U.S. House of Representatives is preparing to vote on legislation that would renew enhanced health insurance subsidies that expired at the end of last year. The move goes against the wishes of House Speaker Mike Johnson, after a group of lawmakers used a rare procedural maneuver to force the issue onto the floor.

    The proposal would extend the subsidies for three years and is expected to pass the House. Its prospects in the Senate, however, remain uncertain after a similar effort stalled late last year.

    An unusual procedural path

    Republican leadership had resisted allowing a vote on the subsidies for weeks. That changed when four Republicans from swing districts joined Democrats to trigger a discharge petition, a mechanism that allows rank-and-file members to bypass the speaker. A procedural vote to advance the measure drew additional Republican support, clearing the way for a final House vote.

    Even supporters acknowledge that a clean three-year extension is unlikely to survive in the Senate. Instead, House passage is widely seen as leverage to restart bipartisan talks in the upper chamber.

    Senate negotiations focus on compromise

    A small bipartisan group of senators says it is nearing an agreement centered on a shorter, two-year extension. One key feature under discussion would allow patients in the second year to receive funds through Health Savings Accounts rather than having subsidies flow directly to insurers.

    The emerging framework also includes an income cap and changes to enrollment rules, potentially reopening sign-ups for people who dropped coverage after premiums rose. Disagreements remain, particularly around abortion-related funding language and broader Republican opposition to the subsidies.

    Foreign policy adds pressure to a crowded agenda

    The health care debate is unfolding alongside renewed scrutiny of U.S. foreign policy following military action in Venezuela. The Senate has already voted to advance debate on a resolution that would require congressional authorization for any further military involvement, signaling unease among some lawmakers.

    These issues are colliding with a tight legislative calendar. Congress faces a Jan. 30 deadline to fund the government or risk a partial shutdown, with several major appropriations bills still unresolved.

    A turbulent start to the year

    In addition to health care, foreign policy, and funding deadlines, lawmakers are also preparing votes to override two presidential vetoes issued just before the new year. Together, the developments underscore a volatile opening to the legislative session, with internal divisions and cross-party negotiations shaping the weeks ahead.

    Affordable Care Act government funding deadline health insurance subsidies House vote Senate negotiations U.S. Congress
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