House Speaker Mike Johnson will not call a vote to renew enhanced ACA subsidies, leading to higher health insurance premiums in 2024 marketplace plans amid Republican opposition and budget negotiation challenges.

ACA subsidies will expire at year-end, likely doubling premiums for enrollees. House GOP leadership blocks vote on extension amid internal disagreements. Insurance market faces significant premium hikes.

House Republicans propose a 111-page healthcare reform plan focusing on lowering premiums, codifying association health plans, and enhancing transparency for pharmacy benefit managers amid ACA subsidy extension debates.

Republicans in key U.S. House battleground districts seek extension of ACA premium tax credits to mitigate average premiums doubling in 2026 amid bipartisan efforts and political stakes ahead of midterms.