Congress
Mike Johnson races to finalize elusive GOP health care plan
Speaker Mike Johnson is racing to finalize a Republican health care plan in time to present it to his conference at their weekly meeting Tuesday, but his team still needs to decide on major contours of the plan, according to three people granted anonymity to describe internal conversations.
GOP leaders are meeting Thursday to nail down what will go in the package, according to the three people. One major decision still to be made is whether to offer up multiple individual bills for floor consideration or to assemble them into one piece of legislation. But top Republicans want to have a GOP alternative to vote on as Democrats hammer them over expiring Obamacare subsidies that will spike premiums for millions of Americans in the new year.
If Johnson and fellow GOP leaders don’t make decisions about the way forward Thursday, one senior House Republican said, “it’s going to be bad.”
The package is likely to be an assemblage of various GOP bills that have been working through House committees that are largely aimed at providing more options for health care coverage outside of the Affordable Care Act framework. One likely to be included would provide for “association health plans” allowing smaller businesses to join together to offer plans rather than going through ACA exchanges. Leaders are also likely to include options for expanding the use of health savings accounts, something President Donald Trump has endorsed but Democrats have generally opposed.
It’s also likely to include bipartisan legislation overhauling the role of pharmacy benefit managers and potentially other bills that could lower prescription drug prices — something Trump pollster Tony Fabrizio advised a group of House Republicans to focus on as Democrats seize on the expiring tax credits.
Johnson said in a brief interview that he and leaders plan to walk House Republicans through the health care plan through this weekend and then circulate the framework early next week. He also confirmed what GOP leaders have said in private — they want to vote on a health care package before the end of the year. But Majority Leader Steve Scalise, who had been coordinating the health care deliberations, wouldn’t commit to that timeline shortly after Johnson spoke.
Party leaders are facing massive pressure from GOP centrists who are assembling their own compromise plans to extend the expiring subsides with new eligibility requirements. But Johnson, Scalise and many House Republicans have no interest in continuing with the Obamacare framework.
Rep. Jen Kiggans (R-Va.), who coauthored a new plan that would provide a one-year extension of the subsidies that has been endorsed by more than two dozen members in both parties, said “we need to act on this issue.”
“To do nothing is the wrong answer,” she said.
Rep. Brian Fitzpatrick (R-Pa.), who is assembling a separate compromise bill that would include a longer subsidy extension, said his party’s leaders were not going down a path that will prevent a spike in American’s health care costs.
“Is it a Republican-only solution? That’s not a serious solution,” he said. “The million-dollar question is, is it bipartisan or not?”
The House Rules Committee advanced a procedural measure aimed at breaking an intra-Republican deadlock Monday night. But GOP leaders are still facing a major battle Tuesday to regain control of the House floor.
The panel approved on party lines a measure to set up Republicans’ $1.1 trillion defense policy bill, a government funding bill and other GOP bills for floor debate. It would then combine the Pentagon bill, once passed, with the contentious elections overhaul known as the SAVE America Act and send it to the Senate as one piece of legislation.
That maneuver, telegraphed by Speaker Mike Johnson earlier Monday, is aimed at appeasing House GOP hard-liners who have blockaded the floor, demanding the Senate pass the elections bill that has languished there for months.
However, Rep. Anna Paulina Luna of Florida, the Republican leading the blockade, said in an interview Monday before the Rules Committee acted that Johnson’s plan is not sufficient — raising the possibility she and allies could vote down the measure on the floor. Other House GOP hard-liners say there are other outstanding issues to battle over Tuesday.
Rep. James McGovern of Massachusetts, the top Rules Democrat, called the merger move “a big waste of time.” The panel voted down a motion by McGovern to remove the provision to combine the two bills in a party-line vote.
The Senate is set to debate its own version of the defense bill next month, and it is likely that the elections overhaul will be removed in negotiations between the two chambers — as McGovern acknowledged Monday and House GOP leaders privately concede.
“The Senate will just strip the SAVE Act out,” he said at the meeting. “There is a zero percent chance SAVE ends up in the [Pentagon bill] because of this rule today.”
The defense bill faces a tight vote if Republicans can pass the procedural measure. Most Democrats are expected to oppose the measure over its massive price tag, which they contend is wasteful.
The panel is set up debate on 312 amendments to the bill. The slate includes GOP measures to codify a Trump executive order to block transgender people from serving in the military, prohibit coverage of gender-affirming care, block aid to arm Ukraine and strip Democratic-backed protections for collective bargaining for Pentagon civilian workers.
The committee also voted down Democratic proposals to slash $150 billion from the bill’s topline and limit the war against Iran.
Mia McCarthy contributed to this report.
Speaker Mike Johnson said Monday he plans to deploy an unusual procedural maneuver in a bid to unfreeze the House floor this week, seeking to send the annual Pentagon policy bill and the GOP elections bill known as the SAVE America Act to the Senate in a single package.
That is likely a recipe for a continued standoff between the two chambers over the SAVE America Act, which has stalled in the Senate for months due to internal GOP divides. Under Johnson’s plan, the annual defense policy bill, which typically passes every year with large bipartisan majorities, could become a collateral victim of the impasse.
Asked in brief interview if he had talked to Senate Majority Leader John Thune about his plans, Johnson replied, “I have to do my job in the House, and they’ve got to do their job in the Senate, so we’ll see what happens.”
Johnson is seeking to placate House conservative hard-liners, led by Florida Rep. Anna Paulina Luna, who have threatened to oppose the procedural measures that give Republicans control of the floor unless they agree to tougher tactics meant to force the Senate into passing the elections bill.
House GOP leaders discussed the plan to merge the two bills over the weekend as Luna pushed to amend the defense bill directly.
She did not say in an interview Monday whether Johnson’s gambit would suffice: “We want it baked together, not able to be stripped out,” she said.
But the Senate is free to work its own will, and members of that chamber are likely to reject any defense bill that has the partisan elections bill attached. That would set the stage for GOP leaders to strip it out when the House and Senate hash out the differences between their competing Pentagon bills later this year.
Johnson, meanwhile, is pushing a separate plan to pass a slimmed-down version of the SAVE America Act through the party-line budget reconciliation process — an option hard-liners have all but rejected.
“I don’t think that that can be done,” Luna told reporters Monday.
He’s also facing another complication: The version of the SAVE America Act he is proposing to attach to the Pentagon bill doesn’t include the latest demands for the bill from President Donald Trump — including a near-total ban on mail voting that is opposed by many Republicans.
Jennifer Scholtes contributed to this report.
Lawmakers of both parties questioned Secretary of State Marco Rubio and top Middle East envoy Steve Witkoff Monday in the first broad congressional briefings on President Donald Trump’s Iran deal.
While Democrats asked some of the sharpest questions, participants in an afternoon conference call with House members said, Rep. Darrell Issa (R-Calif.) at one point pressed the administration officials on the fate of Iran’s stockpile of near-bomb-grade uranium.
According to two people granted anonymity to disclose the private remarks, Witkoff and Rubio repeated assurances the administration has privately made to select lawmakers in prior briefings — that the goal is to negotiate a final deal that would prohibit Iran from keeping its highly enriched uranium.
The memorandum of understanding Trump signed earlier this month, they said, was meant to launch those negotiations. Witkoff, the people said, added that the technical team involved in that part of the talks was traveling from Switzerland to Qatar, where talks between the U.S. and Iran are set to happen Tuesday.
Democrats, meanwhile, pushed the administration for more details on what financial benefits Iran could reap under the memorandum — including proceeds from previously sanctioned oil sales.
Rep. Debbie Wasserman Schultz (D-Fla.) went back and forth with Rubio and Witkoff over the lifting of the oil sanctions, two other people granted anonymity on the House call said. The officials eventually cut off the conversation and ended the call.
At another point, Rep. Madeleine Dean (D-Pa.) raised concerns about Witkoff’s business interests in the Middle East as he’s negotiating with Iran, prompting a sharp defense from Rubio, those people said.
Senate Minority Leader Chuck Schumer asked Rubio and Witkoff about the oil sanctions during a separate all-senators call Monday, saying in a statement afterward that they “confirmed to me that Iran will reap billions in oil revenue while retaining dangerous leverage over the Strait of Hormuz.”
“If this is the administration’s defense behind closed doors, Secretary Rubio should make it under oath, in public, before the Foreign Relations Committee,” Schumer added, calling the briefing “delayed, deficient, and devoid of details.”
An administration official granted anonymity to speak candidly countered on Schumer’s characterization, noting that he had previously gotten a briefing of the deal as part of a group of top leaders engaged on national security matters. Schumer, the official said, had the opportunity to ask multiple follow-up questions on the Senate call.
A separate group of White House officials briefed top congressional leaders and key committee chairs in a classified briefing in the Capitol later Monday.
The administration has faced bipartisan skepticism over multiple provisions of the memorandum of understanding — particularly the lifting of oil sanctions and a $300 billion reconstruction fund that many Senate Republicans fear will help fuel Iran’s military and regional proxies.
Rubio and Witkoff sought to ease concerns about the slow reopening of the Strait of Hormuz — the critical trade route whose closure has sparked higher fuel and fertilizer costs. Both officials said more mine removal is required, and Witkoff indicated that Iran broke the terms of the Trump-signed deal by launching a drone attack on a passing ship over the weekend.
They also sought to assure lawmakers that Iran has received no money under the memorandum — especially not directly from American sources. Administration officials have previously pledged in smaller briefings that the reconstruction fund won’t include U.S. funds.
Sen. Steve Daines (R-Mont.) called the Senate briefing a “productive conversation” but said “much of what I heard today is similar to what I heard last week” during a dinner at Vice President JD Vance’s residence.
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