House to Vote on 3-Year ACA Subsides Extension in early 2026

Three Pa. Republicans key to force a vote on subsidy extension

December 17, 2025

The U.S. House did not vote on the extension of Affordable Care Act (ACA) tax credits on Wednesday, but a discharge petition—signed by three Pennsylvania Republicans—will force a vote on the issue early next year.

Without a vote on the expiring premium support, House Democrats circulated a discharge petition to force a vote on a three-year extension of ACA subsidies.

Three Republican members from Pennsylvania’s delegation—Representatives Brian Fitzpatrick, Ryan Mackenzie, and Rob Bresnahan—provided three of the four necessary Republican signatures needed to reach the required 218 total.

Here's what you need to know:

Today’s action

The House this evening will vote on a Republican health care proposal that does not address the ACA tax credits that are set to expire at the end of the year.

The House Republicans’ health care plan—set for a 5:30 p.m. vote—would expand association health plans, provide cost-sharing reduction payments, and add new provisions for pharmacy benefit managers. The bill would not address the enhanced premium tax credits that expire January 1.

Following the successful discharge petition, the House will vote on a three-year ACA tax credit extension. That vote will likely happen early next year, as it requires at least seven days to go through procedure. Congress is set to recess for the holidays this week.

The “clean” three-year extension has already been voted down in the Senate.

What’s next

This year, HAP has called on Congress to avoid the so-called ACA subsidy cliff. In Pennsylvania, the state marketplace Pennie has grown 50 percent from 2020 to 2025, approaching 500,000 enrolled, due to the addition of the enhanced premium tax credits.

“We urge you to protect affordable coverage for Pennsylvanians by preserving enhanced premium tax credits,” HAP noted in a letter earlier this year. “These actions are vital to prevent further uncompensated care burdens that put care at risk for entire communities, protect our most vulnerable residents, and maintain the health and competitiveness of our commonwealth.”

HAP continues to call on Pennsylvania’s delegation to support the extension of ACA tax credits and promote access to care. For questions or comments, contact John Myers, vice president, federal advocacy.