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
GOP hard-liners threaten to tank FISA vote
House GOP hardliners are threatening to tank the FISA rule shortly on the House floor as Speaker Mike Johnson tries to force through a five year extension, according to four people granted anonymity to speak about plans not yet public.
They’re livid over the “inexplicable 5 year extension, the fake warrant requirement, and the walk back of the promise from this afternoon to include CBDC,” according to one of the people, referring negotiations to prohibit a central bank digital currency.
Congress
‘The original sin:’ Hill Republicans blame White House for slow-walking FISA sales pitch
A messy GOP battle over a key government spy authority boiled over in the House this week — but the crisis was months in the making.
White House officials and Republican Hill leaders have tried to pressure GOP hard-liners into approving a clean, 18-month extension of Section 702 of the Foreign Intelligence Surveillance Act that President Donald Trump demanded. But amid a GOP rebellion on Capitol Hill, Speaker Mike Johnson Thursday afternoon punted a vote on the measure for the second day in a row.
The program expires Monday night. Senators went home for the weekend as Johnson continued to pursue a compromise with the holdouts for an extension as long as three years with reforms, and raced to hold a vote.
Now, the finger-pointing among Republicans is rampant and temperatures are running high.
A band of House ultraconservatives — who have long been concerned that warrantless government surveillance of foreign individuals could sweep up data on Americans — shot down Trump and GOP leaders’ long-held plans for the 18-month extension with no reforms earlier this week.
“A clean extension ain’t going to move on the floor,” Rep. Chip Roy of Texas, one of the head House GOP holdouts, warned earlier this week.
In interviews with more than two dozen Republican lawmakers and aides on Capitol Hill involved in the talks, many of whom were granted anonymity to speak freely about the contentious policy debate, the consensus is that the White House is largely responsible for the current breakdown as GOP factions snipe and assign blame.
“This is why we shouldn’t wait until the last minute on these things,” one House Republican fumed Thursday. A congressional GOP aide added, “The White House was too late to come to a decision. That was the original sin.”
A senior White House official disputed the characterization from some Hill Republicans that the administration had taken too long to plead their case. They pointed to a briefing in the Situation Room months ago with Republican lawmakers, during which “the president heard arguments on both sides of the issue.”
The official added, “We’ve had multiple briefings from senior officials, both on the House and Senate side, about the desirability of this program. Again, going back months ago.”
Trump told House Intelligence Chair Rick Crawford (R-Ark.) and House Judiciary Chair Jim Jordan (R-Ohio) that he wanted a clean extension, without reforms, in February. The president arrived at this position, a second White House official said, after “the administration completed a policy process through the interagency and advised POTUS that a clean extension was the best course and solicited views on length from Blue Light News.”
There was also coordination between the White House and Capitol Hill, according to three people familiar and the senior White House official: Johnson requested the reauthorization run for 18 months, and Trump agreed.
The administration succeeded in convincing Jordan, who had previously pushed for changes to Section 702, to publicly support a clean extension following a White House meeting on the subject.
But ultraconservatives on Capitol Hill were harder to convince, with some House Republicans correctly predicting two months ago they were going to have issues as the vote drew nearer. Trump has forced those hard-liners to cave in recent months on other fights, but the spy powers legislation was one area where members have not been as willing to relent.
While Trump officials made outreach to members at least two months ago, Hill engagement ramped up in the days leading up to the scheduled vote. That has included appeals to lawmakers from CIA Director John Ratcliffe, Deputy CIA Director Michael Ellis and Joint Chiefs Chair Gen. Dan Caine, according to five people. Ellis has made personal phone calls to members, according to two people familiar with the pressure campaign.
White House deputy chief of staff James Blair, White House Legislative Affairs chief James Braid and other legislative affairs officials have also been calling individual House Republicans and working through negotiation details, according to six other people with direct knowledge of the conversations.
Noticeably absent from this outreach is Director of National Intelligence Tulsi Gabbard. Her office plays a statutory role in overseeing Section 702 and has historically been a key proponent of the powerful spy powers.
Gabbard in early February expressed concerns to Trump about reauthorizing the statute without additional privacy guardrails, as Blue Light News reported earlier Thursday, though her appeal appears to have been unsuccessful.
And while the administration’s position on Section 702 came into focus in February, there were signs earlier in the month that its position had not fully crystallized. Officials meeting with the Senate Intelligence Committee at that time refused to divulge the White House’s stance on extending the surveillance power and adding reforms, according to five people with knowledge of the meeting. The exchange frustrated Republicans and Democrats on the panel, who are generally supportive of the surveillance program.
Due to a quirk in the law, the administration will still be able to operate the program for nearly a year even if it is not renewed, and privacy advocates have argued that Monday is a false deadline. But without the law on the books, communications providers like Google and AT&T, which the government tasks to surveil foreign messages, could stop complying with those orders.
But White House officials want an extension codified now, all the same. They have been arguing in conversations with lawmakers that the country is at war and national security is paramount amid threats from Iran. Therefore, they say, hardliners should fall in line to back the clean extension without delay, according to five people involved in the conversations.
“The program is critical for the United States military to listen to the conversations of foreign terrorists abroad while we are engaged in a military operation in Iran. That’s what we’ve been telling individuals, as well as the elevated threat levels around the world, as well as the threat from Mexican drug cartels,” the senior White House official said.
Two groups of House GOP hard-liners, after being summoned by Trump Tuesday night, met with officials at the White House. But some of the Republicans declined the invitation.“I’ve heard everything that the executive has to say on FISA,” Freedom Caucus Chair Andy Harris (R-Md.) said in an interview that evening. That meeting, however, marked a shift: Those House Republicans who went to the White House alongside GOP leaders — among them Roy and Reps. Keith Self of Texas, Byron Donalds of Florida, Clay Higgins of Louisiana, Morgan Griffith of Virginia and Warren Davidson of Ohio — took the opportunity to begin negotiations about a framework for a possible agreement around the use of warrants to access certain information.
The discussions included how the White House and GOP leadership needed to make good on a months-old promise to advance legislation that would ban a central bank digital currency. Enough House GOP holdouts late Thursday evening were threatening to still tank the procedural vote to advance the extension if the White House didn’t address the digital currency matter, according to four people with direct knowledge of the matter. “Unless it’s included, there’s enough votes to kill the rule,” Rep. Ralph Norman (R-S.C.) said in an interview Thursday afternoon. But other Republicans, White House officials and Senate GOP leadership are warning that attaching the measure directly would tank the FISA bill.
In exchange for making these concessions, GOP leaders and the White House have been pushing for a Section 702 extension that’s longer than 18 months and closer to three years.
The senior White House official also said Thursday the administration has “focused in on potentially having conversations about reforms to the program that we think would strengthen protections for American civil liberties … those conversations are ongoing.”
Jordan, meanwhile, has been helping build support for a clean extension by privately telling some Republicans that, if they can pass this 18-month clean extension now, they could potentially work on warrant reforms later, according to three people with direct knowledge of the discussions. That’s raised some eyebrows internally among House Republicans.
The House delays are leaving barely any time for the Senate to act. Majority Leader John Thune said in an interview Thursday that he’s already started having conversations with his own members about what they would need to clear a FISA extension Monday.
Ultimately, even if GOP leaders strike a deal on changes to the current proposed extension, it could risk support for reauthorization among key Democrats, who Republicans will need to pass the final legislation in a narrowly-divided House. While some House Democrats are expected to help Republicans get the final bill across the finish line — including top Democrat on the House Intelligence Committee, Rep. Jim Himes of Connecticut — Democratic leaders have so far declined to shore up the votes for any fast-tracked process.
“I am deeply skeptical of a straightforward extension,” House Minority Leader Hakeem Jeffries said Thursday, adding he told Johnson a few days ago there was “great Democratic skepticism” on a clean extension.
One Democratic Hill aide said Johnson and Trump did far too little to coordinate their pitch with Democrats, who carried a razor-thin vote to re-up the law in 2024.
“They never came to us,” the aide said.
Congress
GOP, Democrats blast Vought for holding back cash: ‘You don’t have the authority to impound’
Senators from both parties chided the Trump administration Thursday for continuing to withhold funding Congress has approved, more than a year after the White House first froze billions of dollars for temporary “review.”
During White House budget director Russ Vought’s testimony before the Senate Budget Committee, Sen. Chuck Grassley (R-Iowa) scolded the OMB chief for not sending hundreds of millions of dollars the Trump administration is supposed to give states throughout the year to support community services aimed at reducing poverty.
“Congress has appropriated money, and you don’t have the authority to impound it,” Grassley said about the more than $810 million Congress appropriated this year for the Community Services Block Grant program.
That program helps states fund anti-poverty services such as transportation, education and nutrition assistance that serve more than 9 million people each year.
Grassley told Vought that lawmakers “are not getting any answers” as to why the Trump administration hasn’t sent states their quarterly funding from the program. “I want those quarterly allotments released,” Grassley said.
While Vought did not directly address Grassley’s comments, he said at a different point during the hearing that “we have not impounded a single thing.”
Other senators, including Sen. Mark Warner (D-Va.), lamented federal dollars being withheld for the fund that provides capital to small banks and credit unions in underserved areas. For months lawmakers from both parties have pushed back against Trump’s plans to eliminate that program, the Treasury Department’s Community Development Financial Institutions Fund.
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