Millions of Americans will see higher premium bills when extra covid-era subsidies on health insurance marketplaces expire Jan. 1.

With enhanced ACA subsidies set to expire, an unusual procedural move is shaking up the House. While a vote won’t happen until 2026, it’s a sign that resolving rising health care costs won’t be easy.

House Speaker Mike Johnson said he won't call a vote to extend subsidies under the Affordable Care Act, all but ensuring they will expire at the end of the month.

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House Speaker Mike Johnson said he will not call for a vote on extending enhanced subsidies for people buying insurance through the Affordable Care Act. That effectively guarantees the subsidies will expire at the end of the month and premiums will spike substantially for some 20 million Americans who get their coverage this way.

Americans are feeling the strain already with less than three weeks to go until the expiration of COVID-era tax credits that have helped many people pay for health insurance through the Affordable Care Act.

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The inability to find a credible counter to the Affordable Care Act has long bedeviled Republicans and cost them at the polls. It’s threatening to do so again next year.

Initial new federal data shows the number of Americans signing up for Affordable Care Act health insurance for 2026 is moderately higher than it was at a similar time last year.