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WSJ What’s News

Frustrated Republican Centrists Join Democrats to Force ACA Vote

17 Dec 2025

Transcription

Chapter 1: What prompted Republican centrists to side with Democrats on healthcare?

0.132 - 18.613 Julie Chang

The Oscars are leaving their longtime home at ABC, shifting from traditional TV broadcasting to YouTube. Plus, a group of frustrated GOP centrists side with House Democrats to force a vote on extending health care subsidies.

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18.914 - 30.167 Siobhan Hughes

To see this group of Republicans who are pretty much go-along, get-along guys, not likely to be difficult for leadership, do this, really underscores the political potency of the insurance issue.

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30.608 - 47.267 Julie Chang

And what's next for Paramount after Warner rejects its bid again? It's Wednesday, December 17th. I'm Julie Chang for The Wall Street Journal, sitting in for Alex Osola. This is the PM edition of What's News, the top headlines and business stories that move the world today.

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55.128 - 70.425 Julie Chang

Four House Republicans have bucked their leadership and sided with Democrats on an attempt to extend health care subsidies for millions of Americans. The four provided the final signatures needed to force a floor vote on the Enhanced Affordable Care Act subsidies.

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71.066 - 78.975 Julie Chang

Those tax credits are set to go back to levels from before the pandemic, meaning higher health care costs next year for many Americans.

Chapter 2: How do midterm elections influence the healthcare subsidy vote?

78.955 - 92.699 Julie Chang

One of the dissenting Republicans, New York Representative Mike Lawler, says Congress has a responsibility to act when leadership blocks action entirely. House Speaker Mike Johnson objects to the maneuver. He spoke on CNBC early this morning.

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93.5 - 100.272 Mike Lawler

You know, doing an end run around the majority party, the speaker or the regular process is not the best way to make law.

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100.252 - 110.305 Julie Chang

Siobhan Hughes, who covers Congress for The Wall Street Journal, is joining us now from the Senate Press Gallery. Siobhan, why are these particular lawmakers going against their leadership?

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110.525 - 135.691 Siobhan Hughes

It is absolutely extraordinary to see this group of Republicans buck their own House leadership, essentially muscle Speaker Johnson aside and say, no, no, no, you must schedule a vote on this bill. To see this group of Republicans, who are pretty much go-along, get-along guys, not likely to be difficult for leadership, do this really underscores the political potency of the insurance issue.

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135.711 - 142.324 Siobhan Hughes

These Republicans are all in very, very tough races next year. And health care is going to be on the ballot.

Chapter 3: What are the implications of the ACA subsidy changes for Americans?

142.804 - 160.228 Siobhan Hughes

Everybody remembers the 2018 elections were very much about Republican efforts to try to repeal and end the Affordable Care Act. And so fearing a repeat of the blue wave in 2018, these Republicans are jumping out to defend their own constituents interests.

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160.58 - 163.484 Julie Chang

So what could this mean for Americans' health care costs?

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163.904 - 190.17 Siobhan Hughes

The premiums of the 24 million people who have Affordable Care Act coverage are going to spike next year. Subsidies will revert to pre-pandemic levels and people making over 400 percent of the federal poverty line will lose subsidies entirely. But that is not going to be the final word. There is going to be a vote in January in the House on a three year extension of the subsidies.

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190.23 - 211.544 Siobhan Hughes

And while that version is not going to make it into law, there are very intense and real conversations among both Republicans and Democrats about how to in some form extend these subsidies. Oh, and by the way, Democrats have a hammer that they can use here. Funding for much of the federal government expires starting on January 31st.

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Chapter 4: What options does Paramount have after Warner rejects its bid?

211.645 - 233.577 Siobhan Hughes

And so in theory, Democrats could trigger another government shutdown if they wanted to make a point about this. So this forced maneuver could make it more likely to extend the subsidies? Absolutely. It's going to put enormous pressure on Republicans to do something because it puts a very fine point on the fact that their House majority is is on the line over health care costs.

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233.597 - 241.747 Siobhan Hughes

And it also reminds the Senate Republicans that they too could either lose or more likely see their majority diminished over this issue.

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241.968 - 248.236 Julie Chang

The House is also voting on a GOP health care bill today. Is that related to the push to extend the health care subsidies?

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248.636 - 260.793 Siobhan Hughes

House Republicans know that they need to come up with an alternative, a way of showing that they too care about these high premiums. Their answer, though, has nothing to do with extending federal government subsidies.

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Chapter 5: How are the Oscars adapting to digital platforms?

260.933 - 282.943 Siobhan Hughes

It has to do with technicalities involving funding certain cost-sharing reductions that go to low-income people on the exchange plans and also allowing more big groups to come up with their own health insurance. Democrats don't like these so-called association plans because they don't mandate essential coverage, like for maternity care, for prescription benefits, the way your ACA plan does.

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282.923 - 291.413 Siobhan Hughes

But nonetheless, Republicans have data showing that this would reduce premiums by about 11%. Siobhan Hughes, thank you for joining us. Thank you.

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291.453 - 308.053 Julie Chang

Over in the Senate, lawmakers have approved a $901 billion defense policy package. The National Defense Authorization Act codifies more than a dozen of President Trump's executive orders. It now goes to the president for his signature. The Journal's Anvi Bhutani has more.

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308.101 - 323.885 Unknown

Some of the highlights in the bill include maintaining a minimum level of troops in Eastern Europe, boosting missile defense funding, expanding cybersecurity measures, and reinforcing policy aimed at countering Chinese and Russian military influence.

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Chapter 6: What are the potential impacts of the new defense bill?

324.526 - 334.26 Unknown

The bill also authorizes $400 million annually in aid to Ukraine, as well as strengthening the U.S.-Israel partnership.

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334.409 - 354.612 Julie Chang

The bill placed new limits on the president's ability to act unilaterally overseas, and it withholds some funds from the Pentagon until Congress receives unedited video footage of strikes against suspected drug boats in the Caribbean. And one provision relating to airports has drawn criticism from lawmakers and some Trump administration officials.

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354.592 - 381.312 Unknown

After the House passed its version of the defense bill, a particular measure that was put in would roll back some safety measures around Ronald Reagan National Airport here in Washington, D.C. The controversial provision would allow military helicopters to fly in the crowded airspace around Reagan National Airport without a particular kind of broadcast system which broadcasts its location.

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381.353 - 389.506 Unknown

Lawmakers and families of crash victims from a mid-air collision in January say that this would make the airspace less safe.

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389.786 - 410.037 Julie Chang

That collision between an Army Black Hawk helicopter and an American Airlines jet over the Potomac River killed all 67 people aboard the two aircrafts. Lawmakers say they hope to repeal the provision. A new study has found that the Los Angeles wildfires from earlier this year took a toll on residents' health.

Chapter 7: How can the forced vote on subsidies affect future legislation?

410.718 - 429.182 Julie Chang

Researchers looked at data from the emergency department of a local hospital, Cedars-Sinai. They found that visits for heart attacks rose 46 percent, and visits for pneumonia and other pulmonary illnesses rose 24 percent. Meanwhile, visits for mysterious symptoms such as chest pain, abdominal pain, and dizziness more than doubled.

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429.162 - 448.302 Julie Chang

The researchers tracked visits from January 7, when the massive Palisades fire erupted, through April 7, and compared the data to past years. Coming up, Putin says Russia will fulfill its ambitions in Ukraine. And the Oscars are going digital. Those stories and more, after the break.

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451.117 - 476.188 Julie Chang

A slump in shares of technology companies like Oracle, Nvidia, and Broadcom dragged stock markets lower today, with the Nasdaq sliding 1.8%. The S&P also fell more than 1%, while the Dow lost 0.5%. And you heard about the medical supplies company Medline this morning. As a reminder, it raised $6.3 billion in the largest U.S. IPO since 2021.

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477.209 - 499.382 Julie Chang

Today, its shares shot up more than 40% in their trading debut on the Nasdaq. Some of today's other big gainers include energy companies ExxonMobil, ConocoPhillips, Occidental Petroleum, which climbed alongside oil prices. President Trump has ordered a blockade on sanctioned oil tankers entering and leaving Venezuela, raising the risk of extended supply disruptions.

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499.702 - 516.527 Julie Chang

And in international news, Russian President Vladimir Putin has warned that Moscow will achieve its goals in Ukraine through diplomacy or on the battlefield. Speaking to Russian officials, Putin called European leaders backing Ukraine piglets who want to feast on the collapse of Russia.

516.76 - 539.851 Julie Chang

Putin's speech signals that the Trump administration's push for a peace deal has not changed the Kremlin's objectives, which include permanently blocking Ukraine's path to NATO and limiting the size of Ukraine's military. Turning to entertainment, Warner Bros. Discovery has recommended that shareholders reject Paramount's hostile tender offer for the company.

540.372 - 560.841 Julie Chang

Warner says Netflix's $72 billion deal is still the better one. Paramount today repeated that its own offer is better than Netflix's, and the company didn't immediately make any changes to its $78 billion cash offer. Wall Street Journal entertainment reporter Joe Flint says Paramount still has a few options in its pursuit of Warner.

561.007 - 581.209 Joe Flint

Well, its options are to continue with its tender offer now, which doesn't expire for several more weeks. They've got this offer on the table and they can see how many shareholders might sign up for it and try to force it. But Warner is pushing back so strongly against it, I would think it's an uphill climb to get there.

581.611 - 596.143 Joe Flint

a majority of shareholders they could come back with a higher bid if they don't make a higher bid though i'm not sure what other options they may have short of filing some sort of legal action if they really feel they have a strong enough case here

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