Four moderate Republicans in the House defied GOP leadership by signing a petition to force a vote on extending pandemic-era ACA subsidies for three years, highlighting intra-party divisions and setting the stage for renewed health care debates in January, with potential implications for upcoming elections and bipartisan negotiations.
The European Parliament voted in favor of establishing an EU fund to expand access to abortion across member states, supporting reproductive rights and healthcare equality, despite political divisions and varying national laws.
Governor Kathy Hochul is expected to sign the Medical Aid in Dying Act in New York, allowing terminally ill patients to request life-ending medication, after reaching a legislative compromise. The bill, supported by a majority of New Yorkers but opposed by religious groups, includes provisions such as a video request, waiting period, and mental health evaluation, though amendments may weaken some of Hochul's initial demands.
The House will not vote this week on extending the ACA's enhanced premium subsidies, leading to frustration among moderate Republicans who warn of rising insurance costs for over 20 million Americans. An effort to include the extension in a GOP health plan was blocked, and despite calls for bipartisan action, no immediate solution is expected before the year's end.
The White House is carefully considering the risks of a potential health care fight as ACA subsidies are set to expire, with internal disagreements on whether to extend them or let them expire, amid political and electoral considerations.
House Republicans proposed a narrow health care package that does not include extending the expiring ACA subsidies, focusing instead on expanding association health plans, transparency in drug costs, and reducing premiums, while discussions continue on possibly adding an amendment to extend the subsidies. The bill faces uncertain prospects in the Senate, and Democrats criticize the proposal for not addressing the upcoming premium hikes.
Democrats are experiencing internal conflicts and infighting over recent shutdown deal and Senate races, with members criticizing each other and Republicans, but overall leadership remains stable despite internal frustrations. The intraparty disputes are influenced by primary dynamics, yet Democrats aim to unify on key issues like health care to strengthen their position.
Many congressional Democrats are unhappy with the Senate deal to reopen the government, feeling they lost leverage and didn't secure key health care subsidies they wanted, leading to internal party divisions and criticism of leadership, especially Senate Minority Leader Chuck Schumer.
Eight Democratic senators voted for a deal to end the 40-day government shutdown, causing outrage among progressives and critics who felt it lacked sufficient concessions on health care tax credits. The deal includes provisions to reverse layoffs, restore food assistance funding, and promote bipartisan spending negotiations, but faces opposition from Republicans and some Democrats, leading to internal party tensions and calls for leadership changes.
Moderate Senate Democrats ended a 40-day government shutdown by reaching a deal that funds the government until late January, includes a vote on ACA tax credits, and rehires federal workers, amid ongoing political divisions and disagreements over health care issues.
President Trump proposed redirecting the billions of dollars from ACA tax credits directly to Americans to give them more control over their health care, but no formal proposal has been introduced, and Democrats remain opposed while negotiations on health care funding continue amid a government shutdown.
Treasury Secretary Scott Bessent stated there is no formal White House proposal to defund Obamacare and send money directly to Americans, despite President Trump's social media post, and he also avoided commenting on ending the Senate filibuster amid ongoing government shutdown discussions.
The Senate is struggling to find a solution to avoid a government shutdown, with Democrats proposing a compromise on ACA subsidies that Republicans dismiss, leading to ongoing negotiations and uncertainty about a resolution.
Democrats, led by Chuck Schumer, are willing to end the government shutdown in exchange for a one-year extension of expiring ACA tax credits, emphasizing health care affordability as a key issue in ongoing negotiations with Republicans.
The Trump administration's CMS is launching a five-year pilot in 2026 to link Medicaid drug prices to lower international prices through a 'Most Favored Nation' model, allowing participating states to negotiate lower prices for certain drugs, amid ongoing debates about its impact on drug costs and rebates.