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"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."
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."
The Education Department has been at the center of Trump's push to "bring back religion in America" and promote “Judeo‑Christian principles.”
The union for US Department of Education workers has raised alarm about a top department official's display of a flag with Christian nationalist associations that was flown during the January 6, 2021, insurrection at the Capitol building.
The flag was spotted outside the Washington, DC, office of Murray Bessette, the principal deputy assistant secretary in the Office of Planning, Evaluation, and Policy Development, according to a report on Monday from USA Today. However, it's not clear how long it's been displayed there.
The stark white banner, emblazoned with a pine tree and the phrase "An Appeal to Heaven"—a reference to John Locke's “Second Treatise on Government”—was first used during the American Revolution and flown by six schooner privateers known as "Washington's Cruisers" for naval operations and supply capture missions.
The flag was flown sporadically throughout the 19th and 20th centuries, most prominently in New England. But it remained relatively obscure until recently.
As the Southern Poverty Law Center explained in November, it has undergone a revival among proponents of Christian nationalism over the past decade:
Its affiliation with Christian supremacist politicians largely began in 2013 after being reintroduced as a symbol of supremacy by Dutch Sheets, a highly influential leader in the New Apostolic Reformation, today’s most powerful Christian supremacist movement.
The NAR is an anti-democratic Christian supremacist movement that seeks to control all areas of national life, from the halls of Congress to one’s living room, compelling all Americans to align their lives with NAR’s worldview. According to NAR leaders, those who oppose them are not just wrong but under the control of the demonic, and are even possibly demonic entities themselves.
Sheets, a prominent supporter of President Donald Trump, helped to mobilize thousands of Christian followers to the Capitol leading up to the January 6 riot, where supporters of the president sought to violently overturn the electoral victory of his opponent, former President Joe Biden. The pastor referred to the recognition of Biden's election as "an evil attempt to overthrow the government of the United States of America."
The "Appeal to Heaven" flag was spotted on multiple occasions at the Capitol on that day and at other "Stop the Steal" events protesting Trump's 2020 election loss. It has continued to cause controversy in the years since.
In 2023, the right-wing Supreme Court Justice Samuel Alito was seen flying the flag outside his New Jersey beach house. Alito blamed his wife for the flag flying outside their property just weeks before a documentarian published a secret recording of him expressing his desire to return the country to “a place of godliness,” and agreeing with radical right-wing groups who he said refuse to “negotiate with the left.”
The flag has also been displayed by several Republicans in Congress, including House Speaker Mike Johnson (R-La.), who has expressed many Christian nationalist viewpoints, including a distaste for the idea that the Constitution requires the separation of church and state.
Its appearance outside Bessette's office is not the first time a government agency has displayed the flag during the second Trump presidency. In June, the Small Business Administration also displayed it during a ceremony, though only for about a day, according to Wired.
Rachel Gittleman, the president of the union for Education Department workers nationwide, said in a statement that the agency "has no place for symbols that were carried by insurrectionists."
“Since January, hardworking public servants at the US Department of Education have been subjected to threats, harassment, and sustained demoralization," she added. "Now, they are being asked to work in an environment where a senior leader is prominently displaying an offensive flag—one that, regardless of its origins in the American Revolution, has come to represent intolerance, hatred, and extremism."
The use of a flag with Christian nationalist affiliations is especially noteworthy at the Education Department, which has been at the center of Trump's push to "bring back religion in America" and promote “Judeo‑Christian principles.”
Trump has endorsed state-level policies requiring the Ten Commandments to be posted in classrooms, which he called a "major step in the revival of religion." In September, he also said that he would soon roll out a policy to provide "total protection" for prayer in public schools, which has long been considered unconstitutional when sponsored by school or state officials.
The progressive congresswoman also warned that "an extension with abortion restrictions kills women."
The US House of Representatives is set to vote on extending Affordable Care Act subsidies next week, and Rep. Alexandria Ocasio-Cortez warned Friday that if Republicans let the ACA tax credits expire at the end of the year, "people are going to die."
The New York Democrat spoke to reporters in Washington, DC a day after only four Republicans voted with Democratic senators in an unsuccessful effort to pass legislation extending ACA subsidies, as over 20 million Americans face a surge in health insurance premiums. A GOP bill to replace the subsidies with annual payments to tax-advantaged health savings accounts also failed.
"We have to remember who's in charge of the House, the Senate, and the White House. Republicans have a House majority, they have a Senate majority, and Donald Trump is president of the United States, and JD Vance is vice president of the United States," Ocasio-Cortez said in remarks shared by her and multiple news sources on social media.
House Speaker Mike Johnson (R-La.) "refused to engage" in a debate on the looming healthcare crisis and "kept Republicans home for over a month so that they would not negotiate," she said. Trump and Vance "did the same thing—they stuck their heads in the sand for the entirety of a... government shutdown where we were urging them to come to a solution on extensions of ACA premium subsidies," she continued, calling for a "clean" extension while the GOP sorts out its supposed healthcare plan.
Rep. @AOC on healthcare subsidy proposals: "An extension with abortion restrictions kills women." pic.twitter.com/HOCqHMGemp
— Forbes Breaking News (@ForbesTVNews) December 12, 2025
"People are gonna be kicked off of their insurance. Open enrollment is happening right now, and there are going to be millions of Americans that are affected—that aren't gonna be able to go to a doctor, aren't gonna be able to afford their prescription drugs, because of some petty fight in Washington," the congresswoman said, noting Democratic efforts to force votes on an extension.
As NBC News reported Thursday, early enrollment data from several states shows that "more people appear to be walking away from Affordable Care Act coverage or switching to cheaper plans for 2026 compared to this time last year," which "could reflect signs of financial strain for people who can't afford to pay hundreds of dollars more in monthly premiums once enhanced federal subsidies expire at the end of the year."
Demanding that her colleagues in DC recognize the urgency of the issue, Ocasio-Cortez—who supports Medicare for All—said Friday that "I don't understand why they can't just extend these subsidies so that we can save people's lives while they figure out whatever their political food fight is."
AOC also pushed back against GOP efforts to restrict reproductive healthcare in an ACA subsidy bill, saying "an extension with abortion restrictions kills women—so no, I'm going to allow this Republican majority to kill women in this country so that they can try to do whatever their victory lap is. I will not accept women, and the lives of women, as some political cost for them being able to extend these things. Reproductive care is healthcare. Period."
Since the right-wing US Supreme Court reversed Roe v. Wade and GOP-led states further restricted reproductive rights, multiple stories have emerged from places including Georgia and Texas exemplifying how "Republican abortion bans kill women."
After Johnson met with the House GOP's "Five Families" on Friday, he is expected to allow a floor vote to extend the subsidies next week and, according to Punchbowl News, is considering giving moderates an option without abortion funding restrictions.
As Politico reported Friday evening:
[GOP] leaders ultimately expect the extension vote to fail, resulting in skyrocketing premiums for millions of Americans when the subsidies expire at the end of the year.
Instead, according to House Republican leadership aides, Republicans are preparing to roll out a healthcare framework that would allow businesses that fund their own health plans to purchase "stop-loss" policies—which would protect businesses from going bankrupt from just a few unexpectedly expensive insurance claims.
It also would appropriate funds to pay for "cost-sharing reductions" in Obamacare and include some elements of a separate legislative proposal designed to crack down on pharmacy benefit managers—companies that negotiate drug prices on behalf of insurers and large employers.
Like Ocasio-Cortez—who has faced mounting calls to launch a 2028 primary challenge to Senate Minority Leader Chuck Schumer (D-NY) over his handling of the March funding fight and recent shutdown—the upper chamber's top Democrat put the blame squarely on Republicans after both bills failed to advance on Thursday.
"Republicans must answer for why people will lose coverage. Republicans must answer why families see premiums double and triple over the next year," Schumer said. "Democrats' focus does not change. We fought like hell to stop these hikes, and we're going to continue to fight like hell to bring costs down for the American people on healthcare, on housing, on electric rates, on groceries."
"But Republicans are fighting like hell to send those costs right through the roof," he added. "They're fighting like hell to kick people off insurance. They're fighting like hell to cut taxes and give sweet giveaways to billionaires and the ultrarich. January 1st is coming. Republicans are responsible for what happens next. This is their crisis now, and they're going to have to answer for it."