In Washington, D.C., U.S. House Republicans are preparing for a vote in early 2026 regarding a proposal from Democrats to extend enhanced Affordable Care Act (ACA) tax credits for an additional three years. This decision follows the House's approval of a Republican bill, which is unlikely to gain traction in the Senate, and does not address the tax credits issue. A group of moderate Republicans initiated a discharge petition, enabling the vote. This move indicates their dissatisfaction with the current leadership and health care costs affecting their constituents. Speaker Mike Johnson acknowledged the challenges faced due to the House's slim majority, stating that the dynamics are different compared to larger majorities. He emphasized the ongoing discussions within the party to address these complex issues. The recent vote on the Republican health care legislation largely split along party lines, with both sides discussing the ACA alongside the new bill's provisions. House Energy and Commerce Chairman, Brett Guthrie, criticized the Democrats for their handling of the ACA tax credits during the pandemic, suggesting it has contributed to the current situation. Meanwhile, Minority Leader Hakeem Jeffries urged for an immediate vote on the ACA extension, highlighting the urgency of the matter. Centrist Republican Rep. Kevin Kiley expressed concern over the handling of health care discussions, noting that the Republican bill lacks the necessary bipartisan support for progress. He described the legislation as modest and hastily prepared, calling for more collaboration. Democratic Rep. Frank Pallone labeled the GOP bill a “sham,” warning that without extending the ACA tax credits, millions may face skyrocketing insurance costs. The House passed the Republican health care bill by a narrow margin of 216-211, sending it to the Senate, where bipartisan backing is uncertain. Senate Majority Leader John Thune has not yet determined whether to schedule a vote on the House Democrats’ ACA extension bill if it passes. He remarked that the current situation is likely to lead to a partisan vote. Lawmakers are expected to take a two-week break soon, delaying any further discussions until January. The consequences of not extending the ACA tax credits could impact around 22 million Americans, resulting in significant premium increases next year.