Moderate Republicans' surprise stance forces House vote on expiring healthcare subsidies

December 17, 2025

A group of moderate Republican representatives used a procedural tool called a discharge petition to force a House vote on extending healthcare subsidies under the Affordable Care Act that are scheduled to expire soon. Four Republicans joined with all Democrats to bypass House Speaker Mike Johnson's opposition and bring the three-year extension to the floor for a Wednesday evening vote. While the measure is expected to pass the House, it faces significant obstacles in the Senate where there is insufficient Republican support.

Who is affected

Millions of Americans who use healthcare subsidies through the Affordable Care Act/Obamacare
An estimated 3.8 million additional people who would become uninsured annually if subsidies expire
Four moderate Republican representatives: Ryan Mackenzie, Rob Bresnahan, Brian Fitzpatrick (Pennsylvania), and Mike Lawler (New York)
House Speaker Mike Johnson
All House Democrats who signed the discharge petition
Senate Majority Leader John Thune and Senate Republicans

What action is being taken

Four moderate Republicans and all Democrats are forcing a House vote scheduled for Wednesday evening using a discharge petition
The House is voting on a measure to extend Covid-era healthcare subsidies for three years

Why it matters

This matters because without the subsidies, insurance premiums through the Affordable Care Act are projected to more than double, and approximately 3.8 million more Americans would become uninsured each year. The action represents a significant procedural rebellion by moderate Republicans against their own party leadership, as these members—many facing competitive re-elections—prioritize preventing subsidy expiration over party unity. The outcome will directly impact healthcare affordability and access for millions of Americans.

What's next

The measure will go to the Senate if it passes the House, where it currently lacks enough Republican support to pass. Senate Majority Leader John Thune has not committed to a timeline for a Senate vote, stating they will "cross that bridge when we come to it."

Read full article from source: BBC