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9 January, 2026

The Healthcare Subsidy Showdown: Who Voted to Save Your Care (and Who Didn’t)

icon Healthcare subsidy,John Thune

The "Subsidy Cliff" has become the defining political battle of the year. With the House recently passing an extension and the Senate—under Majority Leader John Thune—preparing for a high-stakes showdown, the fate of healthcare for millions of seniors and low-income families hangs in the balance.

  • Republican cut taxes for billionaires paid for by slashing health insurance for millions of Americans - CBPP
  • 17 Republicans joined all Democrats to pass a three-year extension of these subsidies in a 230–196 vote.This was made possible by a "discharge petition" that bypassed Speaker Mike Johnson’s attempts to block the bill. - Rep. Jimmy Gomez
  • Republican Senator John Thune has refused to bring the "clean" three-year extension to the Affordable Care Act (ACA) up for a floor vote.

Who voted to protect your affordable healthcare? Who voted to kill it? Who are the 17 Republicans who voted with Democrats to save the ACA? How many people do not have health insurance in your community? How many seniors are there? How will John Thune's obstruction affect the people in his state of South Dakota? Check this map.

How Republican cuts to healthcare hurt you

Map of the Republicans who voted to kill Obamacare and the 17 who voted with Democrats to protect it
Explore this map

John Thune is ready to sacrifice the healthcare of people in South Dakota who voted to make him their Senator.

John Thune ready to sacrifice the healthcare of his constituents in South Dakota
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Growing support for extending ACA subsidies

"The affordability crisis is not a 'hoax,' it is very real — despite what Donald Trump has had to say," said House Democratic Leader Hakeem Jeffries, invoking the president's remarks.

"Democrats made clear before the government was shut down that we were in this affordability fight until we win this affordability fight," he said. "Today we have an opportunity to take a meaningful step forward."

Ahead of voting, the nonpartisan Congressional Budget Office estimated that the bill, which would provide a three-year extension of the subsidy, would increase the nation's deficit by about $80.6 billion over the decade. At the same time, it would increase the number of people with health insurance by 100,000 this year, 3 million in 2027, 4 million in 2028 and 1.1 million in 2029, the CBO said. - PBS

Take Away: Hold Republicans accountable for killing your affordable healthcare.

DISCLAIMER: ALTHOUGH THE DATA FOUND IN THIS BLOG AND INFOGRAPHIC HAS BEEN PRODUCED AND PROCESSED FROM SOURCES BELIEVED TO BE RELIABLE, NO WARRANTY EXPRESSED OR IMPLIED CAN BE MADE REGARDING THE ACCURACY, COMPLETENESS, LEGALITY OR RELIABILITY OF ANY SUCH INFORMATION. THIS DISCLAIMER APPLIES TO ANY USES OF THE INFORMATION WHETHER ISOLATED OR AGGREGATE USES THEREOF.

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