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How abortion coverage threatens to prevent a congressional deal on health care subsidies

Republicans use expired COVID-era subsidies as leverage to impose abortion coverage limits in ACA plans while 17 GOP House members backed extension without new abortion restrictions.

  • This past week on Capitol Hill, U.S. Senate negotiations on enhanced ACA subsidies stalled as anti-abortion Republicans demanded restrictions on abortion funding despite broad bipartisan support.
  • Against a backdrop of a long-running abortion dispute, Republican negotiators seek stronger curbs on abortion coverage while Affordable Care Act relies on a `not less than $1` surcharge rather than Hyde Amendment.
  • 17 House Republicans sided with Democrats in recent weeks, and President Donald Trump urged House Republicans `you have to be a little flexible` on Hyde as a bipartisan group narrowed parts of a deal.
  • With enhanced subsidies having expired on Jan. 1, the average subsidized enrollee faces more than double monthly premiums for 2026, and open enrollment was extended to March 1, 2026.
  • Anti-Abortion advocates are threatening to withdraw support from GOP lawmakers, with Susan B. Anthony Pro-Life America saying the 17 House Republicans who backed the extension should be `very concerned` about their margins.
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How abortion coverage threatens to prevent a congressional deal on health care subsidies

By MARY CLARE JALONICK WASHINGTON (AP) — There is broad bipartisan support in the House and Senate for reviving federal health care subsidies that expired at the beginning of the year. But long-standing disagreements over abortion coverage are threatening to block any compromise and leave millions of Americans with higher premiums. Despite significant progress, bipartisan Senate negotiations on the subsidies seemed to be near collapse at the end…

·Pennsylvania, United States
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Washington Examiner broke the news in Washington, United States on Monday, January 19, 2026.
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