Illustration of Trump unveiling 'Great Healthcare Plan' via social media amid faltering ACA subsidies and Capitol Hill tensions.
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Trump announces great healthcare plan as ACA subsidies stall

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President Donald Trump unveiled his 'Great Healthcare Plan' via social media video, focusing on drug prices and insurance reforms but ignoring rising Affordable Care Act premiums. The announcement comes as Senate negotiations on extending expired ACA subsidies falter, with enrollment deadlines looming. A House bill to extend the subsidies passed last week despite Republican opposition.

On Dec. 18, four Republicans from competitive districts joined Democrats on a discharge petition, giving it 218 signatures and forcing a House vote on extending enhanced Affordable Care Act subsidies. Hours earlier, House Republicans advanced a separate health care bill that omitted the subsidy extension, highlighting divisions inside the GOP over how to address looming premium increases.

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After weeks of stalemate over expiring Affordable Care Act premium tax credits, a Democratic-led discharge petition reached the crucial 218 signatures—with help from four House Republicans—clearing the way for a House vote on a clean three‑year extension of enhanced subsidies that are set to lapse at year’s end.

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