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Senate Republicans criticize Democratic subsidy extension, plan Cassidy alternative ahead of Thursday vote

United States Senate · December 9, 2025
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Summary

Senate Republican leadership said Democrats' plan to extend Biden-era COVID premium subsidies would preserve the status quo and benefit insurers, and announced a Cassidy CRA alternative they say would deliver benefits to patients and cut premiums; a GAO audit and CBO estimates were cited during remarks and Q&A.

Senate Republican leadership criticized a Democratic proposal to extend Biden-era COVID premium subsidies and announced a Republican alternative to be offered under a Congressional Review Act vote Thursday.

"There is no income limit. There are zero dollar premiums," said Leader Thun, arguing that the Democratic measure "just extends the status quo" and sends money to insurers rather than patients. He cited a recent Government Accountability Office audit, saying it showed about 19 fraudulent claims got through and characterizing that as a "95% error rate," as evidence the program needs reform before further extension.

Leader Thun said Republicans will offer a Cassidy proposal under the CRA that, he said, "delivers the benefit directly to the patient, not to the insurance company," and cited a Congressional Budget Office estimate that the alternative would reduce premiums by "double-digit levels." He presented the proposal as fiscally responsible and as giving a better return to taxpayers.

John Brussell, who spoke during the session, said he practiced medicine in Wyoming for 24 years and argued that the Affordable Care Act (referred to in the remarks as "Obamacare") raised premiums rather than falling as promised. "People need the care that they need from a doctor that they choose at a price they can afford," Brussell said, criticizing layered subsidies and opposing sending another $83 billion to insurers.

Reporters asked about the political implications for vulnerable Republicans ahead of 2026. Leader Thun said the Cassidy alternative would let Republicans "talk about and support and vote for" a plan focused on affordability, and noted that if neither proposal reaches 60 votes the next procedural steps would follow Senate rules.

No formal vote result was recorded in the session transcript. The remarks set the stage for a scheduled Thursday vote with both parties expected to press their competing approaches to premium subsidies and program reform.

The session also referenced a GAO audit and CBO estimates; the transcript did not include full reports or underlying data, and the vote outcome was not specified.