The House is pushing toward a vote on renewing subsidies for Affordable Care Act plans. It's a remarkable rebuke of House Speaker Mike Johnson, who tried to stop it. But renegade Republican lawmakers joined with Democrats on a so-called “discharge petition” to force action. The health care tax breaks have lowered health insurance costs for roughly 22 million people, but expired last month. The Congressional Budget Office said the proposed three-year extension would increase the nation’s deficit by about $80.6 billion over the decade, and increase the number of people with health insurance by millions. Members of the Senate are working on an alternative bill.

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FILE - A lectern awaits the arrival of House Democrats to speak on the health care funding fight on the steps of the House at the Capitol in Washington, Nov. 12, 2025. (AP Photo/J. Scott Applewhite, File)

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FILE - Rep. Brian Fitzpatrick, R-Pa., listens to debate as the House Rules Committee meets to prepare Republican legislation to address health care affordability, at the Capitol in Washington, Dec. 16, 2025. (AP Photo/J. Scott Applewhite, File)

Four centrists Republicans have broken with their party's leadership over health care. The four Republicans signed onto a Democratic-led petition that will force a House vole on extending for three years an enhanced pandemic-era subsidy that lowers health insurance costs for millions of Americans. Democrats needed 218 signatures to force a floor vote on their bill. The four Republicans signed it Wednesday morning, pushing it to that magic number.