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197 Republicans Voted to Spike Your Health Insurance Premiums

The Senate blocked the fix and the House passed a fake one. Here's every Republican we track who voted to let ACA premiums more than double.

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If you buy your own health insurance, your bill is about to jump. The extra help that millions of families use to afford their plans — the enhanced premium tax credits — expired at the end of 2025. Congress could have stopped that. Republicans had two chances. They blew both on purpose.

Here's what happened, and here's every Republican we track who made it happen.

Two votes, one result

First, the Senate. On December 11, 2025, the Senate took up a bill (S. 3385) to extend the very tax credits that keep insurance affordable. Republicans filibustered it. The motion to move forward failed 51–48 — it needed 60 votes — so the bill died without ever getting an up-or-down vote.

Then, the House. On December 17, 2025, House Republicans passed their own health bill, H.R. 6703, and gave it a friendly name: the "Lower Health Care Premiums for All Americans Act." There was just one problem. It does not extend the expiring tax credits — the one thing that would actually keep premiums down for next year. The Congressional Budget Office found it would leave about 100,000 more people uninsured.

So one chamber blocked the fix, and the other passed a fake one. Same outcome: your costs go up.

What it costs you

This isn't a small change. If the tax credits go away, the amount families actually pay out of pocket for the same plan would more than double — about a 114% jump on average.

On top of that, insurance companies are raising their sticker prices about 26% for 2026. Put those together and a lot of people simply can't afford to stay covered. Enrollment is projected to fall from 22.3 million people in 2025 to around 17.5 million in 2026 — millions of Americans priced out of their own health insurance.

These are the people who get hit: small-business owners, farmers, early retirees, gig workers, and anyone who doesn't get insurance through a big employer. In other words, a huge share of the working families these members were elected to represent.

The "alternative" that wasn't

When you block the real fix, you need something to point to. That's what H.R. 6703 is for. It loosens the rules on "association health plans" — cheaper plans that don't have to cover all the benefits a normal plan does. It lets members go home and say they "voted to lower premiums." But the bill leaves the actual price hike in place, and the CBO says it covers fewer people, not more. It's a press release, not a solution.

The Senators who blocked the fix

Twelve Republican senators we track voted to filibuster the extension and let your premiums climb:

The Representatives who voted for the fake fix

185 Republican House members we track voted to pass H.R. 6703 — the bill that slaps a "lower premiums" label on a plan that doesn't lower premiums:

The bottom line

Every one of these members will tell you they care about the cost of living. But when a bill landed on their desk that would have kept health insurance affordable for millions of their own constituents, they killed it — and then voted for a knockoff designed to give them cover. The price hike is real. The "alternative" is not. And in 2026, the people paying double for their insurance get to remember exactly who chose that for them.

How they voted

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