\n Inside a packed meeting of House Republicans, multiple battleground Republicans, including Rep. Kevin Kiley of California, called on Speaker Mike Johnson to put a bill on the floor that would extend the expiring subsidies for more than 20 million Americans. He argued that it needed to take priority over leadership\u2019s other, longer-term health care plans that are expected to come to the floor next week.\n <\/p>\n
\n GOP leaders are eying smaller-scale measures, such as expanding HSA accounts and expanding cost-sharing reduction \u2014 a way that helps offset costs for lower-income people by requiring insurers to pay more.\n <\/p>\n
\n \u201cWe need to actually pass something that will become law that will stop that health care cliff,\u201d Kiley told reporters after the closed door meeting.\n <\/p>\n
\n But Kiley said he did not get any commitment from leadership that a vote on the subsidies would happen and warned that leaving town for the holiday recess without a solution would be detrimental for Republicans in their broader fight to address affordability concerns.\n <\/p>\n
\n \u201cThere\u2019s perhaps no single policy measure that would have a more dramatic impact on affordability in the year ahead than doing something about the expiration of the subsidies. So if we go home without addressing that, that is a huge loss,\u201d Kiley shared.\n <\/p>\n
![\"Rep.](\"https:\/\/www.newsbeep.com\/ca\/wp-content\/uploads\/2025\/12\/gettyimages-2219062161.jpg\")
<\/p>\n
\n Kiley is among a group of centrist Republicans who are threatening to sign onto a procedural maneuver known as a discharge petition, which would force a vote on their bill over the objections of Johnson and party leaders. Inside Wednesday\u2019s meeting, multiple leadership allies, including Rep. Greg Murphy of North Carolina, a member of the House Doctors Caucus, made a forceful argument against any discharge petition \u2014 attempting to blunt the momentum behind the centrists\u2019 own push.\n <\/p>\n
\n The closed-door meeting \u2014 in which dozens of members debated more than a dozen health care measures \u2014 ended Wednesday with little sense of unity on a path forward.\n <\/p>\n
\n House Majority Leader Steve Scalise told reporters the leadership team would spend the coming days finding consensus on a handful of bills to come to the floor next week. But the divergence in opinion across the conference on Wednesday is yet another reminder that President Donald Trump and his GOP have yet to unify behind a clear health care agenda eight years after the party\u2019s failed attempt to replace Obamacare.\n <\/p>\n