### House Passes GOP Health Care Bill, Ignoring ACA Subsidy Extension The U.S. House of Representatives has passed a significant GOP-backed healthcare bill on December 18, 2025, which notably does not include an extension of the Affordable Care Act (ACA) subsidies that are set to expire on January 1, 2026. This decision comes amid a contentious political landscape, with Speaker Mike Johnson asserting that the new legislation will reduce health insurance premiums for Americans by an average of at least 11% overall. The bill passed narrowly with a vote of 216-211, reflecting deep partisan divisions within Congress [https://www.freedom951.com/2025/12/18/house-passes-gop-health-care-plan-without-aca-extension-in-216-211-vote][https://www.lightnercommunications.com/2025/12/18/house-passes-gop-health-care-bill-with-mackenzies-support]. ### Breakdown of the Legislative Action and Its Implications 1. **Vote Outcome**: The House voted 216-211 in favor of the GOP healthcare bill, which does not renew ACA subsidies [https://www.freedom951.com/2025/12/18/house-passes-gop-health-care-plan-without-aca-extension-in-216-211-vote]. 2. **Speaker's Claims**: Speaker Mike Johnson claimed the bill would lower premiums for all Americans by an average of 11%, suggesting this is just the beginning of potential savings [https://www.thegatewaypundit.com/2025/12/just-house-passes-gop-health-care-bill-without]. 3. **Democratic Opposition**: The bill faced opposition from Democrats who attempted to push for a three-year extension of the ACA subsidies, which was ultimately blocked by the Republican majority [https://www.freemalaysiatoday.com/category/world/2025/12/18/us-house-passes-republican-healthcare-bill-without-aca-subsidy-renewal]. 4. **Future Prospects**: The bill is expected to face significant challenges in the Senate, where its passage is considered unlikely, leaving millions of Americans potentially facing higher health insurance premiums [https://whp580.iheart.com/content/2025-12-18-house-passes-gop-health-care-bill-without-aca-subsidies]. ### Supporting Evidence and Data - **Vote Breakdown**: The final vote was 216 in favor and 211 against, indicating a highly polarized environment [https://www.freedom951.com/2025/12/18/house-passes-gop-health-care-plan-without-aca-extension-in-216-211-vote]. - **Projected Premium Reduction**: Speaker Johnson's assertion of an 11% average reduction in premiums is a key selling point of the bill, although specific data to substantiate this claim has not been detailed [https://www.thegatewaypundit.com/2025/12/just-house-passes-gop-health-care-bill-without]. - **Impact on Americans**: The expiration of ACA subsidies is projected to affect approximately 22 million Americans, who may face a "cost cliff" in their health insurance premiums [https://conservativeangle.com/house-passes-gop-health-care-bill-without-obamacare-subsidy-extension]. ### Conclusion: Legislative Impact and Future Considerations In summary, the House's passage of the GOP healthcare bill without extending ACA subsidies marks a pivotal moment in U.S. healthcare policy. 1. **Narrow Passage**: The bill's narrow passage reflects deep partisan divides and sets the stage for a contentious debate in the Senate. 2. **Projected Savings**: While the GOP claims significant savings for Americans, the lack of ACA subsidy renewal raises concerns about affordability for millions. 3. **Senate Challenges**: The bill's future in the Senate remains uncertain, with many predicting it will struggle to gain traction. The implications of this legislative action will be closely monitored as the expiration of ACA subsidies looms, potentially impacting millions of Americans' access to affordable healthcare [https://www.freemalaysiatoday.com/category/world/2025/12/18/us-house-passes-republican-healthcare-bill-without-aca-subsidy-renewal][https://whp580.iheart.com/content/2025-12-18-house-passes-gop-health-care-bill-without-aca-subsidies].