'Gambling With Lives of Their Constituents,' House GOP Leaders Refuse Vote on ACA Tax Credits

Republican House Speaker Mike Johnson said Tuesday that he will not allow a vote to extend enhanced Affordable Care Act subsidies that are set to expire at the end of the month, solidifying his party's decision to let tens of millions of Americans face massive premium increases in the new year.

Speaking to reporters, Johnson acknowledged that some swing-district Republicans pushed him for a vote on the ACA subsidies as people across the country face sticker shock, with premiums more than doubling on average.

"We looked for a way to try to allow for that pressure release valve, and it just was not to be," Johnson said of the ACA tax credit vote. "We worked on it all the way through the weekend, in fact. And in the end there was not an agreement."

Johnson's comments, which sparked angry backlash from some of his GOP colleagues, came less than a week after Senate Republicans voted down a Democratic measure that would have extended the enhanced ACA subsidies for three years.

Rep. Mike Lawler (R-NY) called Johnson's obstruction of a subsidy vote "bullshit" and "political malpractice."

Around 22 million Americans received the subsidies, which were first put in place in 2021 amid the Covid-19 pandemic. A survey released earlier this month by the health policy group KFF found that 25% of ACA marketplace enrollees would "very likely" go without insurance if their monthly insurance premiums doubled.

The ACA open enrollment period ended Monday for those with coverage starting start January 1, 2026.

"With no extension of enhanced tax credits, ACA enrollees are going to start the year with premium payments increasing by an average of 114%, or over $1,000 a year per person," Larry Levitt, KFF's executive vice president for health policy, noted Tuesday. "Some will find a way to pay it, some have switched to higher deductibles, and some have dropped coverage."

"Johnson is choosing chaos, higher costs, and uncertainty for working families."

Ahead of next week's holiday recess, House Republicans are expected to vote on legislation that cobbles together various GOP healthcare ideas that experts say wouldn't do much to lower healthcare costs. Even if the bill—which would not extend the ACA tax credits—passes the House, it stands no chance of getting the necessary 60 votes in the Senate.

"They are actively choosing to go into the holiday break, knowing healthcare premiums are doubling and tripling for millions of Americans in 2026, and doing nothing about it," Rep. Pramila Jayapal (D-Wash.) said of Republican lawmakers.

Last-ditch, bipartisan efforts to force Johnson to allow a vote using a discharge petition also appear unlikely to garner enough support. NBC News noted that "even if a discharge petition secured the votes to pass, which is far from certain, it would take time to reach the House floor," effectively guaranteeing "it’ll be pushed into next year, with Republicans hoping to adjourn after this week."

Brad Woodhouse, president of the advocacy group Protect Our Care, said in a statement Tuesday that "Mike Johnson is running out the clock while millions of families face higher premiums and the loss of affordable coverage in just a couple of weeks."

"Across the country, working Americans are preparing for unimaginable sacrifices," said Woodhouse. "They are getting ready to shut down the small businesses they spent blood, sweat, and tears building because the GOP healthcare hikes are simply unbearable. Many are preparing for what life looks like without insurance. Others are considering leaving their jobs or making the impossible choice between paying for medications, rent, or groceries."

“The solution is simple and already on the table: a clean, three-year extension of the Affordable Care Act tax credits," he added. "Johnson is choosing chaos, higher costs, and uncertainty for working families. The choice for House Republicans is clear. If not, the out-of-touch Republican Party will be in for another electoral reckoning in 2026 for raising costs, ripping away coverage, and gambling with the lives of their constituents."