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The Guardian - US
The Guardian - US
World
Guardian staff and agencies

House Republicans propose healthcare plan with no extension of tax credits

a man walking
Mike Johnson in the US Capitol in Washington DC, on 12 December 2025. Photograph: Jim Lo Scalzo/UPI/Shutterstock

With health insurance premiums set to rise sharply for at least 22 million Americans who purchase their coverage through Affordable Care Act (ACA) marketplaces using tax credits that will expire at the end of this year unless Congress acts, the US House speaker Mike Johnson unveiled a Republican alternative late Friday.

Johnson’s bill comes as his party refuses to extend the enhanced tax subsidies for people who buy policies through the ACA, dubbed Obamacare by opponents of the 2010 law. Those subsidies help lower premiums for Americans who do not get insurance through employers.

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