Seventeen Republicans join Democrats to pass a three-year extension of tax credits cutting ACA premiums

The US House of Representatives on Thursday passed legislation to re-establish tax credits that lowered premiums for Affordable Care Act (ACA) health plans, after a small group of Republicans broke ranks and joined with Democrats to defy Donald Trump on a key healthcare issue that could sway voters ahead of the November midterm elections.

The chamber voted 230-196 to approve a bill that would extend for three years the credits, which were first created under Joe Biden but expired at the end of last year despite a concerted effort by the Democratic minority to continue them.

All Democrats voted for the measure along with 17 Republicans, many of whom were moderates who said they could not tolerate a hike in healthcare costs for their constituents, but acknowledged the House measure will likely be revised by the Republican-controlled Senate before it is enacted .

“I am voting in favor of this discharge and of this legislation to send it to the Senate, so that the Senate will have the opportunity to put forth a reform package that can pass Congress and become law,” Republican congressman Mike Lawler said during a preliminary vote on the bill on Wednesday.