Senate Majority Leader John Thune declined to promise a vote this week on a Republican health care plan as enhanced Affordable Care Act subsidies near expiration. Democrats plan to force a vote on a three-year extension that GOP leaders expect to fail but agreed to allow. Republicans remain divided over whether to extend subsidies or pursue alternatives, and competing GOP proposals — including a two-year plan from Sens. Collins and Moreno — are unlikely to reach the floor this week.
Senate GOP Leader Won’t Commit to Vote as Key ACA Subsidies Near Expiration

Senate Majority Leader John Thune said Monday he would not promise a vote this week on a Republican health care proposal as enhanced Affordable Care Act (ACA) subsidies approach expiration, leaving lawmakers racing against the clock.
Democrats plan to force a Senate vote later this week on a bill that would extend the enhanced ACA subsidies for three years without changes. The Democratic measure lacks sufficient Republican support to pass and is expected to fail, but GOP leaders agreed to allow the vote after Democrats demanded it as part of reopening the government during the prolonged shutdown.
Republicans Divided
Republicans remain split on how to respond. Some GOP senators are willing to let the subsidies lapse, while others worry that higher insurance premiums could damage the party’s standing in the midterm elections. Party leaders say they want to present a united position before moving forward, but no consensus has emerged.
GOP Response And Competing Proposals
GOP lawmakers say they have multiple alternatives and are open to negotiating with Democrats — but only after the expected Democratic "messaging" vote. Thune described the upcoming Democratic push as primarily political, arguing Republicans should not be rushed by the Democrats’ timetable.
"We’re going to have a conversation tomorrow with our members and kind of decide the path forward. We could — we have some good options. But this, to me, on the Democrats’ part, is a messaging exercise," Thune said, while acknowledging that Republicans "have people in different camps" on how to handle the expiring tax credits.
Senators Susan Collins (R-Maine) and Bernie Moreno (R-Ohio) unveiled legislation to extend the subsidies for two years while adding GOP-favored changes such as income caps and premium mandates. That bill, like other Republican alternatives, is not expected to reach the floor this week.
Thune also referenced a proposal from Sens. Mike Crapo and Bill Cassidy, noting it does not include an extension of the subsidies. He said there may be room for bipartisan work if Democrats engage constructively, but he characterized the immediate Democratic move as focused on political messaging rather than negotiation.
Voices From The GOP
Sen. Tommy Tuberville warned of political consequences if Republicans fail to present a credible plan, urging the party to coalesce around an approach that could win bipartisan support. "It very well could be, if we don’t come up with something that lets the American people know that we’re trying to fix this, and we are," Tuberville said.
Sen. Roger Marshall said he hopes Republicans will gain clarity in the coming days but was skeptical a definitive solution would be reached by week’s end given the delay caused by the shutdown.
A senior GOP aide told reporters Republicans are unlikely to hold a vote this week on any alternative to the Democrats’ proposal. The Democratic bill is expected to be brought to the floor on Thursday, though a schedule had not been finalized.
What Happens Next: Lawmakers will continue internal GOP discussions and negotiations with interested Democrats after the expected messaging vote. With key subsidies set to expire soon, pressure is mounting for a legislative path that can win enough votes to become law.
This story was updated with additional details. Contributions by CNN’s Alison Main, Arlette Saenz and Ellis Kim.
Similar Articles

Schumer Seeks 'Clean' Three-Year ACA Extension — Polls Say Republicans Risk Backlash If Subsidies Lapse
Senate Minority Leader Chuck Schumer is pushing a "clean" three-year extension of Affordable Care Act premium subsidies and p...

GOP Scrambles to Draft Health‑Care Plan as ACA Subsidies Near Expiration
Republicans are racing to craft a health‑care alternative before an expected Senate vote on expiring ACA tax credits, but rem...

GOP Races Toward ObamaCare 'Cliff' as Subsidy Extension Prospects Fade
Deadline nears: Enhanced ACA subsidies expire Dec. 31, and Republicans remain divided on whether to extend them. Without acti...

Scalise Says GOP Will Fast-Track Healthcare Overhaul 'In The Next Few Weeks' as ACA Subsidies Loom
Overview: House Majority Leader Steve Scalise said Republicans will bring a package of healthcare bills to the House floor wi...

Deadline Nears for ACA Subsidies — GOP Split Could Shape the 2026 Midterms
Republicans face a Jan. 1 deadline on pandemic-era ACA subsidy expansions that currently help more than 20 million Americans....

Senate Unlikely to Deliver Bipartisan ACA Tax-Credit Fix Ahead of Crucial Vote
Overview: The Senate is unlikely to reach a bipartisan agreement to extend the ACA's enhanced tax credits before next week's ...

ACA Approval Climbs to 57% as Republicans Wrestle With Expiring Subsidies
Gallup reports 57% approval for the Affordable Care Act, up three points from last year and exceeding prior highs of 55% in 2...

Johnson Signals Most House Republicans Won’t Back Extension of ACA Subsidies
Speaker Mike Johnson told White House officials that most House Republicans are unlikely to support extending enhanced Afford...

Countdown to Dec. 31: Republicans Scramble as Expanded Obamacare Subsidies Near Expiration
Five weeks remain before expanded ACA subsidies expire on Dec. 31, and Republicans are divided between eliminating the enhanc...

White House Draft to Extend ACA Subsidies Exposes Deep GOP Rift Ahead of Jan. 1 Deadline
White House draft seeks a two-year extension of expanded ACA tax credits while tightening eligibility, including a 700% FPL c...

Trump Escalates Push to End the Senate Filibuster — Thune and Most GOP Senators Resist
President Trump continues to push to eliminate the Senate filibuster, but Majority Leader John Thune and most Senate Republic...

Trump’s Health Plan Stalls as GOP Splits Over ACA Subsidies, Raising Risk of Steep Premium Hikes
President Trump’s push for a new health care proposal has stalled amid GOP infighting over whether to extend enhanced ACA sub...

'People Aren't Dumb': Republicans Warn They Must Do More on Affordability or Risk Midterm Losses
Republican lawmakers are warning their party lacks a clear plan to address Americans' affordability concerns, despite blaming...

Jeffries Seeks Discharge Petition to Force Vote on Expiring ACA Subsidies as Dec. 15 Enrollment Deadline Looms
House Democrats, led by Hakeem Jeffries, filed a discharge petition to force a House vote on a three-year extension of expiri...

Senate Democrats Doubt Bipartisan Deal to Extend Enhanced Premium Tax Credits
Quick summary: Senate Democrats say a bipartisan deal to renew enhanced premium tax credits now appears unlikely, increasing ...
