Senate Majority Leader John Thune said Tuesday that while bipartisan discussions are ongoing around the fate of soon-to-expire Affordable Care Act subsidies, abortion restrictions are a major sticking point.
“There are conversations that continue, but as you know the Hyde issue is a difficult and challenging one on both sides,” Thune told reporters.
The fight over the so-called Hyde Amendment, which bars federal funding for abortion, has been looming over any potential deal to extend the enhanced Obamacare tax credits. And GOP lawmakers, not to mention a cadre of influential anti-abortion groups, quickly noticed the White House’s framework was silent on the issue.
The White House ultimately held off on releasing that framework as it faced a mountain of GOP criticism from conservatives who felt caught off guard that Trump would back a two-year extension of the subsidies — even when paired with new income caps and other restrictions.
The Senate is expected to vote next week on a proposal from Democrats to extend the ACA subsidies, but Democrats haven’t yet detailed what bill they will put on the chamber floor.
Republicans are separately working on a potential counterproposal that would come from Sens. Mike Crapo and Bill Cassidy, chairs of the Senate Finance and HELP Committees, respectively. GOP senators also have yet to decide whether they’ll roll out that plan in time for a vote next week, though, and the substance remains in flux.
Sens. Jeanne Shaheen (D-N.H.) and Lisa Murkowski (R-Alaska) said Monday night that while efforts to reach a bipartisan agreement persist, many lawmakers believe they are ultimately headed toward a failed vote next week. Some senators are already looking at Jan. 30, the next government funding deadline, as the real cut-off for a health care deal.
“I don’t think we’re close to a 60-vote threshold yet,” Thune said of bipartisan health care talks.
There’s also uncertainty on the other side of the Capitol about how Republicans will respond to the looming expiration of the subsidies, which could cause premiums to skyrocket in the new year. Speaker Mike Johnson told reporters at his weekly press conference that he “didn’t commit to” a short-term extension during a closed-door House GOP members’ meeting Tuesday morning but that “there will be a Republican response to this.”
“What I’ve got to do is build consensus deliberately around the best ideas,” Johnson said. “We’re pulling those ideas together … I can’t project in advance what that will be because I don’t know what the consensus is in that room.”
Meredith Lee Hill contributed to this report.
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