House Republican leaders have introduced a new health care proposal in the U.S. House of Representatives, with plans to bring it to a vote next week.
The measure comes as key provisions of the Affordable Care Act (ACA), including enhanced premium tax credits, are scheduled to expire unless Congress acts.
The GOP proposal does not include an extension of these expiring ACA premium tax credits, which have helped lower monthly insurance costs for many Americans who buy coverage through federal and state marketplaces. Without congressional action, the credits are set to end on their current schedule.
House Republicans describe the plan as an effort to shift more health care decision-making to private markets and state authorities. Specific details, including cost estimates and projected effects on coverage rates, have not yet been fully disclosed.
The timing of the House vote comes as families plan for 2025 health care costs, with open enrollment periods for marketplace coverage underway.
House committee staff continue briefing members on the proposal, emphasizing objectives like reducing federal spending and altering benefits structures. The bill’s path in the Senate is uncertain, and White House officials have not issued a formal response to the plan.
If passed in the House, the legislation would move to the Senate, where negotiations, amendments, or separate proposals could alter its provisions. The future of ACA premium tax credits—and potential impacts on millions of Americans—will ultimately depend on congressional negotiations and cross-party agreements.