Congress
15 years into Obamacare, the GOP health care message is as muddled as ever
With key Obamacare tax credits set to expire within weeks, Democrats have unified behind a simple message: extend the subsidies and keep health insurance premiums from spiking for more than 20 million Americans.
Republicans, meanwhile, have engaged in a wide-ranging blame game while scrambling to coalesce behind an easily digestible plan to lower health care costs. That struggle comes to a head this week as House leaders move to put what they hope will be a consensus GOP plan up for a vote.
House Republican leaders chose a narrow set of proposals to include in that plan, arguing they lacked broad agreement for a more comprehensive undertaking as they seek to satisfy competing GOP factions, including vulnerable Republicans who’ve argued they will lose their seats if the Affordable Care Act subsidies aren’t extended.
The upshot is that there is no clear, unified GOP message on health care going into the year-end deadline when the tax credits expire — and no guarantee that Republicans will be able to pass anything this week to address the loss of beefed-up subsidies instituted under former President Joe Biden.
“I expect people are going to have an opportunity to vote their conscience and then go defend their votes back home like we always do,” House Budget Chair Jodey Arrington (R-Texas) told reporters about the GOP’s health care strategy.
Across the Capitol, there are already clear signs of unease. While Senate Republicans mostly united behind a plan that would expand health savings accounts as an alternative, four GOP senators crossed party lines to advance a Democratic proposal that would simply extend the Obamacare subsidies for three years.
Now rank-and-file Republicans in both chambers are privately strategizing about how to pull off an unlikely 11th-hour deal to avert a health care price shock that has triggered significant anxiety throughout the party about the political blowback they could face in the 2026 midterms. House GOP moderates negotiated an amendment vote that could tack a subsidy extension onto the leadership-backed health bill, but that vote is expected to fail and only serve as political cover for the vulnerable House Republicans.
That’s because top GOP leaders have resisted scrambling a 15-year-old message their party has been loath to abandon: Obamacare is a costly disaster, and Americans need better options.
“There’s a couple of [issues] that split our conference — that’s one of them,” House Majority Leader Steve Scalise said last week.
The dissonance within the GOP ranks comes as Democrats remain confident their push to preserve the status quo will resonate with voters — especially after making it a central focus of the shutdown fight that ended last month.
Party leaders have managed to keep Democrats largely unified behind a three-year extension of the expiring subsidies. Every Senate Democrat voted to advance that proposal Thursday. In the House, Minority Leader Hakeem Jeffries has managed so far to keep the vast majority of his members from endorsing compromise extension proposals that purple-district Republicans have introduced.
“Our message is simple: Republicans have created a health care crisis for American families who are seeing their health insurance rise by 100 to 300 percent, and the solution has been in front of us for a while,” said Rep. Brad Schneider (D-Ill.), chair of the centrist New Democrats.
President Donald Trump, the GOP’s master of viral messaging, has not been especially helpful when it comes to health care. Trump has repeatedly referred to Obamacare as a “disaster” and railed against insurance companies who collect the federal subsidies — echoing a favorite conservative talking point.
But he has yet to lay out a specific alternative beyond giving “money to the people” directly to buy health care. Trump gave a nod to the issue during the annual Congressional Ball at the White House Thursday, addressing “Democrats” in the room: “We’re going to start working together on health care. I really predict that.”
While some of the Republicans present took the comments to mean Trump might be open to striking a so-far elusive health care deal in January, many Democrats doubt he will be willing to come to the table and extend a framework he has railed against for a decade. Moreover, the party is preparing to use the issue — and Trump’s refusal to engage — to hammer Republicans in the midterms as they show vulnerability on cost-of-living concerns.
“He doesn’t understand the hell that people are going through as they prepare to pay these hugely high health care costs,” said Sen. Chris Murphy of Connecticut, a member of Senate Democratic leadership.
On Capitol Hill this week, familiar divides are likely to play out as Republicans come to terms with the impending expiration of the subsidies, which will mean a much smaller swath of Americans will be eligible for tax credits. The Congressional Budget Office projects millions will choose to drop their coverage rather than pay higher premiums.
Already concerns about political blowback forced House GOP leaders to backtrack from their initial strategy of simply allowing the Obamacare subsidies to expire. As part of their efforts to pass a package of measures meant to erode insurance regulations enacted in the ACA, “the process will allow” for an amendment vote on extending the subsidies, a Republican leadership aide said Friday.
But that has rankled conservatives who have publicly criticized those Republicans who are supporting an extension, and top party leaders do not expect the amendment will be adopted.
“My Democratic colleagues broke health care, and now they are down here saying we must give more money to insurance companies,” Rep. Chip Roy (R-Texas) said Friday on the House floor, “and any Republican who goes along with that needs to answer for doing the same thing.”
Republicans have health care plans, he added, but “what we don’t have is the backbone and the will power to stand up and deliver.”
Scores of Roy’s colleagues, however, have taken a more nuanced view — that even though they share concerns about the cost of the subsidies and the legacy of Obamacare, they are frustrated their party appears to be confronting the issue only at the last minute with family budgets at stake for thousands of their constituents.
Rep. Dan Meuser (R-Pa.) said last week he wasn’t completely happy with the situation and that Republicans “need to move this along.”
“A lot of people are receiving this health care — they don’t need the rug pulled out from under them,” Meuser said. “Definitely should have been done a ways back, we could say, because of the shutdown. But we’ve got to do everything we can and then do more. “I don’t see how we just leave things in limbo,” he added.
Congress
Capitol agenda: Trump tests GOP with Fed probe
President Donald Trump is once again forcing a tough fealty test on GOP lawmakers — this time over the fate of the Federal Reserve and Chair Jerome Powell.
The Fed chair’s Sunday night revelation of a DOJ probe into the central bank immediately rattled a number of Capitol Hill Republicans and raised serious doubts about the confirmation of Trump’s upcoming pick to succeed Powell.
“Will they stop at nothing to force their way on everything?” one senior House Republican granted anonymity told Blue Light News. “The administration is setting a standard they cannot achieve themselves and will haunt us all for a generation.”
The DOJ move is the epic culmination of Trump’s years of enmity toward Powell over interest rates. It may be the point at which Republicans who believe in Fed independence — and who are generally fans of Powell — can no longer stand on the sidelines.
Powell himself, whom DOJ is scrutinizing over Senate testimony about office building renovations, is pushing back like never before. Powell is warning out loud that it all comes down to whether monetary policy “will be directed by political pressure or intimidation.”
Sen. Thom Tillis (R-N.C.) is now threatening to use his seat on Senate Banking to derail the confirmation of Powell’s successor. Assuming no Democrats voted for the yet-to-be-named nominee, it would only take Tillis to stand in the way of the pick from being reported out of committee.
“If there were any remaining doubt whether advisers within the Trump Administration are actively pushing to end the independence of the Federal Reserve, there should now be none,” Tillis said. “It is now the independence and credibility of the Department of Justice that are in question.”
The latest Trump rift comes as Senate Republicans are poised to defy the president later this week when the chamber votes on whether to check his war powers in Venezuela.
The Senate is currently looking at Wednesday to hold a vote-a-rama before final passage of the war powers resolution. Republican leaders are trying to flip at least some of the five GOP senators who agreed to advance the measure last week and enraged Trump.
“We’ll see what happens,” Senate Majority Leader John Thune told Blue Light News. “I can’t make any predictions at this point, but I think you have to be prepared for all contingencies but also realize you’ve got to pivot and move forward.”
Democrats hope GOP support stays firm — or even increases — as Trump floats the prospect of military action elsewhere, including Iran.
What else we’re watching:
— What’s next in government funding: House GOP leaders want to pass the latest bicameral, bipartisan funding deal as soon as Wednesday, after appropriators nailed down a two-bill package consisting of State-Foreign Operations and Financial Services.
Appropriators were hoping to include a third bill to fund DHS but were unable to reach an agreement after last week’s fatal ICE shooting in Minneapolis created new complications.
Senate leaders are working to clear the previous appropriations minibus the House passed last week for the departments of Justice, Interior, Energy and Commerce.
— Senate negotiators close in on ACA deal: A bipartisan Senate group is poised to release a plan as soon as Tuesday or Wednesday to revive expired Obamacare subsidies, according to Sen. Bernie Moreno (R-Ohio), one of the negotiators.
The main sticking point is how to address the use of federal funds for abortions. The bipartisan Senate group is expected to meet Monday night to continue talks.
Meredith Lee Hill, Jordain Carney, Jennifer Scholtes and Katherine Tully-McManus contributed to this report.
Congress
The Trump loyalist at the center of the Senate’s Obamacare talks
If the Senate is going to strike a deal to revive a signature Democratic policy, it will be in part because of an unlikely broker: a freshman Republican from the party’s MAGA wing.
Sen. Bernie Moreno of Ohio is, on paper, an odd fit in the core group of about a dozen senators in talks to extend Obamacare credits that lapsed on Jan. 1. Most are well-known bipartisan dealmakers, such as Republican Susan Collins and Democrat Jeanne Shaheen.
Moreno, on the other hand, joined the Senate a year ago as a Trump-anointed presidential loyalist who had just defeated longtime Democratic Sen. Sherrod Brown with hard-line attacks focused mainly on immigration. But he has a key asset — a close relationship with Trump, who will need to bless or at least tacitly accept any agreement to smooth its passage through Congress.
Asked in an interview about his decision to take a leading role in the politically fraught health care negotiations, Moreno deployed one of Trump’s best-known slogans.
“Putting America first means putting Americans first,” he said. “People are being affected, and I want to help the people who need help. That’s what we should be doing.”
He said his goal is to get roughly 35 of the Senate’s 53 GOP senators to support an eventual deal — not just a handful joining Democrats on a “defection vote” — and that he’s keeping the White House and Senate leaders closely apprised of the discussions.
Senate Majority Leader John Thune praised Moreno in an interview as “whip-smart” and “willing to do the work.”
“He’s willing to sit down with people and try and find common ground, which I think on an issue like this is challenging,” he said. “Around here, that’s worth a lot.”

His involvement is also a sign that a new generation of bipartisan dealmakers might be starting to emerge after some of the Senate’s old hands headed for the exits in recent cycles. Moreno is now in close touch with not only Collins and Shaheen but other Senate pragmatists such as Tim Kaine (D-Va.), Lisa Murkowski (R-Alaska) and Angus King (I-Maine).
Moreno’s text chain with the dozen-member group is labeled the “EPTC OG gang” — a reference to the enhanced premium tax credits, the technical name for the Obamacare subsidies.
At times, Moreno’s new-kid-on-the-block status has been on display. After Moreno and Collins convened a meeting in December near the Capitol Rotunda, the Ohio Republican asked a reporter for directions to the room, inadvertently tipping off its location.
Minutes later, Collins walked toward the meeting seemingly astounded that word had gotten out about what she said was a “secret meeting.” Told about Moreno’s request for help, a bemused Collins put a hand to the side of her face.
Moreno said his freshman status means he doesn’t have “scars” from previous congressional fights.
“‘Oh, I don’t want to be working with this person,’ or ‘They screwed me back in 1972,’ you know?” he said. “I was in Kindergarten, so it doesn’t affect me.”

At 58, Moreno is on the younger side for the Senate, but he is already airing frustrations about the chamber’s growing polarization and making points about addressing it that jibe closely with complaints frequently heard from older generations of senators.
“I don’t think there’s enough muscle memory here about actually going in with good faith, good intentions and getting together and seeing if the deal can be cut,” he said.
The group of negotiators have their work cut out for them. They are discussing a two-year extension of the Obamacare tax credits that were beefed up under former President Joe Biden. Since their lapse at the end of last year, the tax credits — which were used by more than 500,000 Ohioans, according to KFF data — have reverted to their original 2010 levels, benefiting only those with incomes under 400 percent of the federal poverty level.
The Senate group’s proposed extension would include new restrictions including a $5 a month minimum premium payment and an income cap set at 700 percent of the federal poverty level. In the second year, the proposal would also give enrollees to take their subsidy as cash in pre-funded health savings accounts — an arrangement favored by Trump.
Moreno believes the group is in the “red zone,” and could be ready with text as soon as Tuesday or Wednesday. But some Democrats involved in the discussions have been more circumspect, wary about a thorny dispute over abortion.
Many Republicans say they will not be able to support a compromise unless the subsidies are tightened so they cannot fund abortions in any manner. Democrats say the safeguards built into the Affordable Care Act upon its passage in 2010 are sufficient.

“I think we’ve made clear from the start, the Democrats feel we have to come to the rescue and I hope we can do it,” said Sen. Dick Durbin of Illinois, the No. 2 party leader. But he warned that if the Republicans “decide they want to make this an abortion issue, I’m afraid that’s the end of the conversation.”
Moreno said the group wasn’t trying to relitigate questions over federal funding for abortions but acknowledged there is a “dispute” over whether that is currently happening.
Republicans’ heartburn over the issue flared last week after Trump suggested in remarks to House members that they should be “flexible” on abortion language — sparking outrage from outside conservative groups that ricocheted back on Congress.
A person granted anonymity to discuss the negotiations said Republicans in a larger negotiating group of roughly two dozen senators haven’t yet landed on a consensus position — much less the entire Senate GOP conference.
“There’s no need to come to a compromise because it’s already been dealt with in the Affordable Care Act,” Shaheen said when asked about the issue.

While the abortion question is a powerful force pulling some Republicans away from a deal, there are also compelling reasons for many to embrace a compromise — not least of which is the threat the expiring subsidies pose to the GOP majorities in November.
Among the vulnerable lawmakers is Moreno’s GOP partner in the Ohio delegation, Sen. Jon Husted, who is facing a likely matchup with Brown.
Moreno acknowledged that despite a feeling among negotiators that they are close to an agreement, it could all come to naught. Lawmakers “are on the clock,” he said, and getting a deal is an “if.”
“Capital I, capital F,” he said. “75-point font.”
Congress
Rep. Salazar touts Venezuela’s Machado before her visit
Rep. Maria Elvira Salazar on Sunday said Venezuela’s opposition leader Maria Corina Machado has “earned” enough to receive President Donald Trump’s backing as the South American country recovers from the capture of Nicolas Maduro.
“She proved to the international community that they, the opposition forces, had won the election,” the Florida Republican told CBS’ “Face the Nation.”
Salazar, who said she was in contact with Machado during the time she was in hiding during Maduro’s rule, added that Trump will be ”highly, highly pleased” with Machado when she visits Washington this week.
“I am sure that she will have a very good, long, solid conversation with the President,” Salazar said. “I think we are going to welcome her in Congress, and I’m sure that President Trump is going to be highly, highly pleased with that meeting.
Salazar’s optimism comes as the organization that oversees the Nobel Peace Prize announced Machado cannot give her recent award to Trump.
Machado won the prestigious prize in October, and quickly dedicated the award to the president. Trump had repeatedly expressed his desire to be awarded the prize, particularly in light of his work to end the Israel-Hamas war and other conflicts.
Trump declined to endorse Machado as the nation’s new leader in the wake of the raid that netted Maduro and left Venezuela at least temporarily leaderless. But Salazar on Sunday said Machado “is part of the transition” in Venezuela now that Maduro is no longer in power — a sharp difference from Trump’s previous statements that the U.S. will run Venezuela.
Salazar said there are things that the U.S. may not know about what is happening in Venezuela under Maduro’s allies, Delcy Rodríguez and Diosdado Cabello.
Still, her optimism continued as she said she is confident American prisoners will soon be released.
“We do not want to make any mistakes and I am sure that the political prisoners will be coming out and that we’re not giving them, meaning Diosdado and Delcy, any type of leeway for them to really run the country,” said Salazar. “We will see. I happened two, three weeks ago. Let’s give them a little bit more time before we see more results.”
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