Mike Johnson unveiled a House Republican plan to reform the ACA that would end COVID-era enhanced premium tax credits scheduled to expire in a few weeks, a shift analysts say could roughly double premiums for about 22 million Americans.KFF and analysts Sabrina Corlette and Cynthia Cox say consumers are already shopping and could face steep premium spikes that have pushed enrollees such as Leslie Smith, Chad Bruns and Kelley Bruns, Dave Roof and Kristin Roof, and Katelin Provost to downgrade plans, accept higher deductibles or go uninsured.The Senate rejected proposals to extend the subsidies, Democrats including Hakeem Jeffries condemned the House plan, and rank-and-file Republicans such as Mike Flood report intense constituent pressure, creating political risk for Donald Trump and House Republicans if Congress does not act.