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Republicans Debate Healthcare Changes Ahead of Subsidy Expiry
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Congressional Republicans face a pivotal decision in 2026 regarding healthcare changes, with the potential to use reconciliation for a party-line bill. The debate intensifies as the midterm campaigns heat up, following the failure to extend Affordable Care Act subsidies. House Speaker Mike Johnson shows openness, but key figures like Jason Smith doubt its passage due to narrow margins and health policy splits. Budget leaders like Jodey Arrington and Lindsey Graham advocate for bundling healthcare with defense and immigration priorities. External groups propose ideas such as expanding health savings accounts, while some discuss using tariff money to offset rising costs. Top leaders like John Thune and Steve Scalise are gauging consensus, but internal divisions and midterm pressures make the path ahead challenging as the subsidy deadline approaches.
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