Senate to vote on competing ACA subsidy bills
PUBLISHED Dec 9, 2025, 3:53 PM ET
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Washington Senate leaders set dueling votes this week on competing measures to address expiring COVID-era Affordable Care Act subsidies. Republicans unveiled the Cassidy-Crapo proposal to redirect federal funds into health savings accounts for bronze-plan enrollees, while Democrats proposed a three-year extension of enhanced tax credits. Majority Leader John Thune said Republicans will offer the alternative; Democratic leaders called the GOP plan inadequate. Both measures lack bipartisan support necessary to advance in the 60-vote Senate, making subsidy expiration a likely outcome absent negotiation. Based on 7 articles reviewed and supporting research.
By Emily Rhodes | JQJO News
Timeline of Events
- COVID-era enhanced ACA subsidies were enacted during the pandemic to lower marketplace premiums.
- Those enhanced subsidies were scheduled to expire at the end of the calendar year, risking premium spikes.
- Republican senators Bill Cassidy and Mike Crapo drafted a bill redirecting funds to health savings accounts.
- Senate Majority Leader John Thune announced Republicans would put the Cassidy-Crapo bill up for a side-by-side vote this week.
- Both the Republican and Democratic proposals lacked the bipartisan support needed to secure 60 votes, making subsidy expiration likely without negotiation.
- Articles Published:
- 7
- Right Leaning:
- 0
- Left Leaning:
- 1
- Neutral:
- 6
- Distribution:
- Left 14%, Center 86%, Right 0%
Republican lawmakers and proponents of health savings accounts gained a political and policy platform by advancing the Cassidy-Crapo bill to redirect expiring ACA subsidy funds into HSAs, aiming to offer a conservative alternative while framing the move as a market-based solution.
Millions of Affordable Care Act marketplace enrollees, including low- and moderate-income individuals and small-business dependents of enhanced tax credits, faced the prospect of sharply higher premiums and greater out-of-pocket costs if the subsidies expire and no bipartisan agreement passes.
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