House Speaker Mike Johnson told reporters Thursday that Republicans are ready to roll out their healthcare bill next week, promising "big developments" and a floor vote before the calendar flips to 2026. What's actually in the bill? That's still anyone's guess.
The Subsidy Question Nobody's Answering
Johnson kept the details close to his chest, according to The Hill, leaving the biggest question unanswered: what happens to the Affordable Care Act's enhanced subsidies that are set to expire? This isn't some wonky technical issue—it's a real political headache for moderate Republicans who've been quietly working with Democrats on alternative proposals.
Those moderates have floated multiple plans calling for short-term extensions of the subsidies, each trying to thread the needle between keeping premiums affordable and addressing conservative complaints about government spending. Reps. Jen Kiggans (R-Va.) and Josh Gottheimer (D-N.J.) even introduced a bipartisan framework for a temporary extension.
But House Majority Leader Steve Scalise (R-La.) dropped hints suggesting the GOP bill won't include an extension of those enhanced subsidies, which could mean higher premiums for millions of Obamacare enrollees.
A Messy Healthcare Landscape
The Republican bill arrives amid considerable chaos over the ACA's future. Back in November, President Donald Trump outlined a plan to send federal health funds directly to individuals rather than through insurance companies. The idea was giving people more control over their insurance choices and pricing, but Republican lawmakers pushed back hard enough that the White House shelved it.
Trump's team said they're reworking the proposal to extend ACA subsidies and prevent surprise premium spikes. Still, the revised plan is getting hammered by some GOP members, with at least one conservative House Republican dismissing it as "Obamacare-lite."
Outside the Beltway, billionaire Mark Cuban has been throwing his own punches at the ACA, arguing that it's morphed into a system ripe for corporate exploitation. Cuban specifically called out major insurers for what he sees as mistreatment of independent physicians and pharmacies.
The 2026 Warning Shot
Earlier this month, former White House Deputy Chief of Staff Karl Rove issued a stark warning to Republicans: without pairing economic wins with a coherent healthcare plan, the party could be looking at serious losses in the 2026 midterms. It's a reminder that healthcare remains one of those issues that can make or break elections, regardless of how well the economy is doing.
For now, all eyes are on next week's unveiling to see whether Republicans have found a way to square this circle—or if they're just kicking the subsidy can down the road.