Skip to Content Facebook Feature Image

House takes step toward extending Affordable Care Act subsidies, overpowering GOP leadership

News

House takes step toward extending Affordable Care Act subsidies, overpowering GOP leadership
News

News

House takes step toward extending Affordable Care Act subsidies, overpowering GOP leadership

2026-01-08 07:32 Last Updated At:08:01

WASHINGTON (AP) — Overpowering Speaker Mike Johnson, a bipartisan coalition in the House voted Wednesday to push forward a measure that would revive an enhanced pandemic-era subsidy that lowered health insurance costs for roughly 22 million people, but that had expired last month.

The tally of 221-205 was a key test before passage of the bill, which is expected Thursday. And it came about because four GOP centrist lawmakers joined with Democrats in signing a so-called discharge petition to force the vote. After last year's government shutdown failed to resolve the issue, they said doing nothing was not an option as many of their constituents faced soaring health insurance premiums beginning this month.

Rep. Mike Lawler of New York, one of the Republicans who crossed party lines to back the Democratic proposal, portrayed it as a vehicle senators could use to reach a compromise.

“No matter the issue, if the House puts forward relatively strong, bipartisan support, it makes it easier for the senators to get there,” Lawler said.

In the end, nine Republicans joined Democrats to advance the measure.

If ultimately successful in the House this week, the voting would show there is bipartisan support for a proposed three-year extension of the tax credits that are available for those who buy insurance through the Affordable Care Act, also known as Obamacare. The action of forcing a vote has been an affront to Johnson and GOP leaders, who essentially lost control of their House majority as the renegade lawmakers joined Democrats for the workaround.

But the Senate is under no requirement to take up the bill.

Instead, a small group of members from both parties is working on an alternative plan that could find support in both chambers and become law. One proposal would be to shorten the extension of the subsidy to two years and make changes to the program.

Senate Majority Leader John Thune, R-S.D., said any plan passing muster in the Senate will need to have income limits to ensure that it's focused on those who most need the help and that beneficiaries would have to at least pay a nominal amount for their coverage.

That way, he said, “insurance companies can't game the system and auto-enroll people.” Finally, Thune said there would need to be some expansion of health savings accounts, which allow people to save money and withdraw it tax-free as long as the money is spent on qualified medical expenses.

It's unclear whether the negotiations will yield a bill that the Senate will take up. Democrats are making clear that the higher health insurance costs many Americans are facing will be a political centerpiece of their efforts to retake the majority in the House and Senate in the fall elections.

Democratic Leader Hakeem Jeffries, who led his party's effort to push the health care issue forward, particularly challenged Republicans in competitive congressional districts to join if they really wanted to prevent steep premium increases for their constituents. Before Wednesday's vote, he called on colleagues to “address the health care crisis in this country and make sure that tens of millions of people have the ability to go see a doctor when they need one.”

Republican Reps. Brian Fitzpatrick, Robert Bresnahan and Ryan Mackenzie, all from Pennsylvania, and Lawler signed the Democrats' petition, pushing it to the magic number of 218 needed to force a House vote. All four represent key swing districts whose races will help determine which party takes charge of the House next year.

Johnson, R-La., had discussed allowing more politically vulnerable GOP lawmakers a chance to vote on bills that would temporarily extend the subsidies while also adding changes such as income caps for beneficiaries. But after days of discussions, the leadership sided with the more conservative wing of the party’s conference, which has assailed the subsidies as propping up a failed program.

Lawmakers turn to discharge petitions to show support for an action and potentially force a vote on the House floor, but they are rarely successful. This session of Congress has proven an exception.

A vote requiring the Department of Justice to release the Jeffrey Epstein files, for instance, occurred after Reps. Ro Khanna, D-Calif., and Thomas Massie, R-Ky., introduced a petition on the Epstein Files Transparency Act. The signature effort was backed by all House Democrats and four Republicans.

Speaker of the House Mike Johnson, R-La., speaks during a news conference at the Capitol, Wednesday, Jan. 7, 2026, in Washington. (AP Photo/Rod Lamkey, Jr.)

Speaker of the House Mike Johnson, R-La., speaks during a news conference at the Capitol, Wednesday, Jan. 7, 2026, in Washington. (AP Photo/Rod Lamkey, Jr.)

House Minority Leader Hakeem Jeffries, D-N.Y., speaks during a news conference on Capitol Hill, Monday, Jan. 5, 2026, in Washington. (AP Photo/Mariam Zuhaib)

House Minority Leader Hakeem Jeffries, D-N.Y., speaks during a news conference on Capitol Hill, Monday, Jan. 5, 2026, in Washington. (AP Photo/Mariam Zuhaib)

Houston (12-5) at Pittsburgh (10-7)

Monday, 8:15 p.m. EST, ESPN/ABC.

BetMGM NFL odds: Texans by 3 1/2.

Against the spread: Texans 9-8; Steelers 8-8-1.

Series record: Steelers lead 8-5.

Last meeting: Texans beat Steelers 30-6 on Oct. 1, 2023, in Houston.

Last week: Texans beat Colts 38-30; Steelers beat Ravens 26-24.

Texans offense: overall (18), rush (14), pass (22), scoring (13).

Texans defense: overall (1), rush (6), pass (4), scoring (2).

Steelers offense: overall (25), rush (26), pass (22), scoring (15).

Steelers defense: overall (26), rush (13), pass (29), scoring (17).

Turnover differential: Texans plus-17; Steelers plus-12.

QB C.J. Stroud will make his fifth career playoff start Monday and a victory will make him the fourth quarterback in NFL history to win a postseason game in each of his first three seasons, joining Joe Flacco, Hall of Famer Otto Graham and Russell Wilson. The 24-year-old has had at least 200 yards passing in six straight road games and has thrown for 245 yards or more in three of his four playoff games. In the six games since his return after missing three because of a concussion, he has thrown eight touchdown passes with just three interceptions.

WR DK Metcalf. The two-time Pro Bowler returns this week after serving a two-game suspension for initiating physical contact with a fan in Detroit in late December. Pittsburgh's offense struggled without him in the muck in Cleveland on Dec. 28 but bounced back against Baltimore, with Aaron Rodgers throwing for a season-high 294 yards. Metcalf had been warming up at the time of his suspension. His presence gives the Steelers a legitimate deep-threat option provided the offensive line gives Rodgers enough time to throw while facing one of the best pass rushes in the NFL.

Steelers offensive tackles Dylan Cook and Troy Fautanu against Texans edge rushers Danielle Hunter and Will Anderson. Cook, who began the season on the practice squad, has filled in capably after taking over for injured starter Broderick Jones, while Fautanu has thrived this season after an injury-marred rookie season in 2024. Anderson and Hunter combined for 27 sacks, and Houston's best chance at winning the first road playoff game in franchise history will start with Anderson and Hunter making life difficult for Steelers QB Aaron Rodgers, who will be making the 22nd playoff start of his 21-year career.

Texans: DE Denico Autry (knee), OL Tytus Howard (ankle), RB Jawhar Jordan (ankle), CB Kamari Lassiter (ankle) did not practice on Thursday. T Trent Brown (ankle/knee), LB Jamal Hill (calf), DT Sheldon Rankins (elbow), S Jaylen Reed (forearm) and CB Derek Stingley Jr. (oblique) were limited on Thursday.

Steelers: Pittsburgh is surprisingly healthy heading into its first home playoff game in five years, though RB Jaylen Warren did sit out practice midweek because of an illness.

This is the first playoff meeting between Pittsburgh and Houston. The Steelers have won three of the past four games between the two clubs, though the Texans drilled Pittsburgh 30-6 in Houston two years ago, which proved to be an early sign of what the Texans were building under then first-year coach DeMeco Ryans. ... The Steelers hold a 3-1 advantage in games played at Acrisure Stadium. Houston's lone victory in Pittsburgh came during its first trip on Dec. 8, 2002, when the Texans used three defensive scores to pull off a 24-6 stunner in a game that was played when current Houston quarterback C.J. Stroud was just 14 months old.

The Texans are in the playoffs as a wild-card team for the first time, where they’ll look to win their first postseason road game after losing their first six away from Houston. … It’s their third straight trip to the playoffs. … Houston has tied a franchise record with a nine-game winning streak. It’s the longest winning streak by a team entering the playoffs since San Francisco took a 10-game run into the 2022 postseason. … The Texans are the fifth team since 1990 to open a season 0-3 and reach the postseason and the first team to do it twice after their 2018 team also made such a turnaround. … Houston's 12 wins are tied with the 2012 team for most in a regular season in franchise history. … Houston’s defense led the NFL in total yards allowed (277.2) and ranked second by allowing 17.4 points a game. … RB Woody Marks ranks sixth among rookies with 703 yards rushing this season. He has had at least 75 yards of offense in two straight road games. … WR Nico Collins leads the Texans with 1,117 yards receiving, his third straight 1,000-yard season. Collins has had at least five receptions in each of his four playoff games. … WR Jayden Higgins had the second-most touchdown receptions by a rookie in franchise history with six, which was tied for second among rookies in the NFL this season. … TE Dalton Schultz ranked third among tight ends with 82 receptions and his 777 yards ranked sixth. … DE Danielle Hunter ranked third in the NFL with 15 sacks for his seventh season with at least 10 sacks. He has a sack in four straight games. … DE Will Anderson Jr. tied for fourth in the NFL with a career-high 20 tackles for loss and had a career-best 12 sacks. … LB Azeez Al-Shaair led the team with 103 tackles for his third straight season with at least 100 tackles. … LB Henry To’oTo’o has career highs with nine tackles for loss and four passes defensed this season. … CB Kamari Lassiter tied for fifth in the NFL with a career-high 17 passes defensed. … CB Derek Stingley had 15 passes defensed and tied for the team lead with four interceptions, including his first interception return for a TD. … K Ka’imi Fairbairn was selected AFC Special Teams Player of the Week after tying a franchise record with six field goals in a Week 18 win against the Colts. His tiebreaking 43-yard kick with 12 seconds left gave him 44 field goals this season, which ties David Akers (2011) for most field goals made in a season in NFL history. ... The Steelers are back in the playoffs for a third straight year and the 13th time in coach Mike Tomlin's 19-year tenure. ... Pittsburgh used a 4-1 sprint to finish the regular season to capture its eighth AFC North title under Tomlin. ... The Steelers carry a six-game playoff losing streak into their meeting with Houston, tied with Miami for the longest active postseason losing skid in the NFL. ... Pittsburgh is 23-0 in its past 23 scheduled Monday night home games, a streak that goes back to 1991. The only loss on Monday night during that span came in 2020, when the Steelers fell to Washington in a contest that was pushed back from Sunday to Monday as part of the scheduling havoc brought on by the COVID-19 pandemic. ... The Steelers are making their 36th overall playoff appearance in team history, third in the NFL behind Dallas and Green Bay (both with 38). ... Pittsburgh is 21-11 all time at home in the playoffs. ... Rodgers is 11-10 all time in the playoffs and has won at least one postseason game in five of his past six appearances. ... Pittsburgh LB T.J. Watt is looking for the first playoff victory of his career. The perennial Pro Bowler returned last week from a three-game absence while recovering from surgery to repair a partially collapsed lung to grab the ninth interception of his career. ... The Steelers are one of two playoff teams to not feature a 1,000-yard rusher or 1,000-yard receiver. The Los Angeles Chargers are the other. ... Pittsburgh's playoff victory drought has been marked by falling into early deficits. The Steelers have been outscored 143-47 in the first half during their six-game playoff losing streak. ... Pittsburgh RB Jaylen Warren had career bests in yards rushing (958) and yards from scrimmage (1,291).

AP NFL: https://apnews.com/hub/nfl

Houston Texans head coach Demeco Ryans talks to the media following an NFL football game against the Indianapolis Colts in Houston, Sunday, Jan. 4, 2026. (AP Photo/Ashley Landis)

Houston Texans head coach Demeco Ryans talks to the media following an NFL football game against the Indianapolis Colts in Houston, Sunday, Jan. 4, 2026. (AP Photo/Ashley Landis)

Pittsburgh Steelers head coach Mike Tomlin watches from the sideline during the first half of an NFL football game against the Baltimore Ravens, Sunday, Jan. 4, 2026, in Pittsburgh. (AP Photo/Gene J. Puskar)

Pittsburgh Steelers head coach Mike Tomlin watches from the sideline during the first half of an NFL football game against the Baltimore Ravens, Sunday, Jan. 4, 2026, in Pittsburgh. (AP Photo/Gene J. Puskar)

Pittsburgh Steelers quarterback Aaron Rodgers speaks during a news conference after an NFL football game against the Baltimore Ravens, Monday, Jan. 5, 2026, in Pittsburgh. (AP Photo/Gene J. Puskar)

Pittsburgh Steelers quarterback Aaron Rodgers speaks during a news conference after an NFL football game against the Baltimore Ravens, Monday, Jan. 5, 2026, in Pittsburgh. (AP Photo/Gene J. Puskar)

Houston Texans quarterback C.J. Stroud (7) walks off the field following an NFL football game against the Indianapolis Colts in Houston, Sunday, Jan. 4, 2026. (AP Photo/Ashley Landis)

Houston Texans quarterback C.J. Stroud (7) walks off the field following an NFL football game against the Indianapolis Colts in Houston, Sunday, Jan. 4, 2026. (AP Photo/Ashley Landis)

Recommended Articles