With insurance premiums set to rise sharply for at least 22 million Americans, Mike Johnson unveils alternative

With health insurance premiums set to rise sharply for at least 22 million Americans who purchase their coverage through Affordable Care Act (ACA) marketplaces using tax credits that will expire at the end of this year unless Congress acts, the US House speaker Mike Johnson unveiled a Republican alternative late Friday.

Johnson’s bill comes as his party refuses to extend the enhanced tax subsidies for people who buy policies through the ACA, dubbed Obamacare by opponents of the 2010 law. Those subsidies help lower premiums for Americans who do not get insurance through employers.

Johnson, a Louisiana Republican, huddled behind closed doors to assemble the package for consideration next week as the House focuses the final days of its 2025 work on healthcare.

“House Republicans are tackling the real drivers of health care costs to provide affordable care,” Johnson said in a statement announcing the package.