Mike Johnson said there will be no House vote this week to extend Affordable Care Act premium subsidies, after centrist Republicans pressed leadership for a bipartisan short-term extension during stalled negotiations.Johnson promoted a Republican alternative, the Lower Health Care Premiums for All Americans Act, set for a Wednesday vote, saying it would enact five reforms — including cost-sharing reductions, pharmacy benefit manager transparency and association health plans — and citing a CBO projection that the cost-sharing change alone would cut premiums by at least 11% and save taxpayers about $30 billion.The announcement leaves unresolved a broader standoff: the Senate recently rejected competing plans, Bill Cassidy has been at the center of the fight, centrists such as Brian Fitzpatrick and Jen Kiggans warned that lapse of enhanced subsidies would spike premiums for tens of millions in 2026, Democrats including Hakeem Jeffries have proposed a three-year extension estimated by CBO to cost about $83 billion and reach roughly 6 million more people, and roughly 22 million Americans rely on enhanced subsidies now.