Mike Johnson recently advanced the Lower Health Care Premiums for All Americans Act, a House Republican package that would rewrite parts of the Affordable Care Act but does not itself extend enhanced premium tax credits created during the COVID pandemic and set to expire on January 1, 2026 unless Congress reaches a bipartisan deal.Analysts at the Kaiser Family Foundation, the Center on Budget and Policy Priorities and the Congressional Budget Office warn that letting the enhanced credits lapse would cause large premium increases and roughly 2 million more uninsured people next year, while Paragon Health Institute analysis finds that appropriating cost-sharing reductions could lower silver-plan premiums by 12 percent and save taxpayers about $30 billion over ten years.With Senate leaders not expected to take up a separate health package, insurers preparing premium filings, protests outside the White House and lawmakers trading competing proposals such as a $1,500 per person payment, the coming weeks present a tight window for Congress to act to avert significant coverage and cost shocks in 2026.