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January 8, 2026legislativeHealthcareCongressLegislation

House Passes ACA Subsidy Extension 230-196, 17 Republicans Break with Trump

The House passed a 3-year extension of enhanced ACA premium tax credits 230-196, with 17 Republicans defying Trump and Speaker Johnson. Breakaway Republicans included Brian Fitzpatrick (PA), Mike Lawler (NY), David Valadao (CA), Maria Elvira Salazar (FL), and 13 others — mostly from swing districts. Trump opposed extending the subsidies. Senate Majority Leader Thune said the Senate had "no appetite" for an extension.