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Why Senate Republicans aren’t uniting behind a health care plan

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Senate Republicans have no shortage of health care plans. The challenge is getting all 53 of them to rally behind one.

Three days before a high-profile vote on a Democratic proposal to extend expiring Obamacare subsidies, GOP senators are nowhere near coalescing behind any single alternative that could be put up alongside it. Instead, Republican leaders appear happy allowing their members to freelance, even as Democrats and some in their own ranks fume at the lack of clear direction.

For Republicans, the risk of proceeding Thursday with a side-by-side vote is clear. While Democrats say they will have their entire 47-member caucus behind the three-year extension, any GOP plan right now is likely to fall well short of complete unity — and highlight the divisions in their party.

Senate Majority Leader John Thune called the upcoming vote on Democrats’ plan “a political messaging exercise,” one he agreed to last month as part of a deal to end the 47-day government shutdown. He didn’t commit to putting up a GOP counteroffer for a vote.

“I don’t think they’re serious about wanting to do a deal yet, so I think that may be what this week is about,” Thune told reporters Monday. “But we’ll see from there if there is a genuine interest in trying to do something.”

GOP senators are expected to further discuss their options at a closed-door lunch Tuesday and make a final decision about their posture. But, according to three Republican aides granted anonymity to comment on internal conference dynamics, leaders are not currently expected to offer an alternative for a vote Thursday.

One of the aides said Republicans will be prepared to make the case they have plenty of ideas and are ready to talk with Democrats once they move off a proposal that won’t get the 60 votes needed to advance.

But some Republicans want their leaders to put some concrete alternatives forward as more than 20 million Americans face the loss of enhanced Obamacare tax credits that were implemented as a Covid relief measure under President Joe Biden in 2021 and later extended through 2025. Without them, many families could see premiums rise by $1,000 a month or more.

“What signal would that send if Republicans say, ‘Yeah, we’re going to say no to the Democrats’ plan, but we’re not going to offer anything?’” Sen. Josh Hawley (R-Mo.) said. “The message that will send is, good luck to the American people, and we don’t really care.”

Sen. John Kennedy (R-La.) said in an interview that simply standing aside while Democrats vote to extend the subsidies would be “a big mistake.”

“A lot of my colleagues, I think, will be very upset if we don’t put something up,” he said.

But there are multiple competing proposals that are favored by subsets of the Senate GOP. Some of them include shorter extensions of the expiring subsidies. Others seek to replace them with new frameworks, generally involving giving Americans cash in the form of health savings accounts to help underwrite premiums and other costs.

Sen. Rick Scott (R-Fla.) is among those pushing for a clean break from the Affordable Care Act subsidy framework that reflects “what we believe in” as free-market-oriented Republicans. “I always think it’s good to have an alternative,” he said in an interview.

But Thune praised another proposal being circulated by Sens. Mike Crapo of Idaho and Bill Cassidy of Louisiana, who chair the health-oriented Finance and HELP committees, respectively.

Their proposal, released Monday, would expand the use of health savings accounts and direct funding toward them without extending the enhanced Obamacare subsidies.

Cassidy said Monday that it is a “leadership decision” if his proposal gets a vote Thursday. Thune took steps Monday night to make the bill available for a vote later this week, as Republicans try to keep options on the table ahead of Tuesday’s lunch.

But Thune also acknowledged some of his members have other ideas centered on extending the enhanced subsidies with a new income cap and other eligibility restrictions. Republican Sens. Bernie Moreno of Ohio and Susan Collins of Maine, for instance, propose to extend the expiring subsidies for two years with income cap restrictions and minimum premium payments.

That proposal won some Democratic interest Monday from Sen. Dick Durbin (D-Ill.), the No. 2 party leader, who called it “encouraging” and “in the ballpark” of a workable solution — though he cautioned he hadn’t seen the details.

“It’s not crazy,” Durbin said. “Let’s have a conversation.”

The Senate GOP is straining to formulate a path forward as House Republicans race to come up with their own plan in hopes of putting some health care legislation up for a vote next week before lawmakers break for the holidays — and the enhanced subsidies expire, returning them to the original levels as passed in the 2010 Affordable Care Act.

House GOP leaders still need to make key decisions, including if they try to assemble one bill or put up a suite of bills for members to pick and choose from. But they, too, are under pressure from a slice of members to embrace an extension of the subsidies — even as most in the party are happy to see them expire.

President Donald Trump hasn’t put forward his own framework, which could have helped rally the disparate factions of his party on Capitol Hill. And Senate Minority Leader Chuck Schumer hammered Republicans Monday, saying that they “have no plan.”

“The question Republicans face this week is very simple: Will they support our bill and lower people’s premiums or will they block our bill and send premiums through the roof?” Schumer said from the Senate floor Monday.

While the Democratic proposal is expected to fall well short of the necessary 60 votes, a handful of Republicans haven’t said yet how they will vote. Hawley, for instance, said Monday “everything is on the table.”

“What I’m not going to do is do nothing,” he said.

It’s likely Thursday’s vote won’t be the last word on health care this Congress. Thune left the door open to further bipartisan negotiations, and there’s some hope on both sides of the aisle that a failed vote — or votes — could in fact lend new momentum to the talks. Lawmakers are increasingly eyeing Jan. 30, the next government funding deadline, as the real cutoff to land a health care deal.

But getting to that point will require Democrats to compromise and Republicans to get together behind a plan of some kind. Asked Monday if his ranks were united or divided on health care, Thune acknowledged reality for a party that has struggled on the issue for decades.

“I think we have people in different camps, as you would expect,” he said.

Calen Razor and Benjamin Guggenheim contributed to this report.

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GOP hard-liners threaten to tank FISA vote

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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.

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‘The original sin:’ Hill Republicans blame White House for slow-walking FISA sales pitch

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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.

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GOP, Democrats blast Vought for holding back cash: ‘You don’t have the authority to impound’

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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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