In a significant development, four centrist Republicans have broken with their party’s leadership and signed onto a Democratic-led petition to force a House vote on extending enhanced pandemic-era subsidies that lower health insurance costs for millions of Americans. The move, led by Democratic leader Hakeem Jeffries, will likely lead to a vote on the bill in January. The subsidies, which are set to expire at the end of the year, have been a contentious issue, with Republicans pushing for alternative measures that would expand insurance coverage options for small businesses and the self-employed.

The four Republicans who signed the petition, including Reps. Brian Fitzpatrick, Robert Bresnahan, Ryan Mackenzie, and Mike Lawler, represent districts that Democrats have targeted in their bid to retake the majority. They argued that their request for a vote on the subsidies was rejected by House leadership, leaving them with no choice but to sign the petition. The move sets the stage for a renewed intraparty clash over healthcare in January, something Republican leaders had been working hard to avoid.

The petition, which requires 218 signatures, was reached on Wednesday, paving the way for a potential vote on the bill in January. However, the path ahead is uncertain, as the bill would still need to pass the Republican-led Senate, where it faces an uphill battle. Senate Republicans have already voted down a similar proposal, and while four Republican senators crossed party lines to support the Democratic extension, it is unclear whether they will do so again.

House Speaker Mike Johnson downplayed the significance of the move, saying that he had not lost control of the House and that the petition was a rare exception to the usual rules. However, the development is seen as a significant blow to Republican leadership, which has been struggling to manage the party’s slim majority. The issue is likely to be a central theme in next year’s midterms, with Democrats promising to make healthcare costs a key issue.

The subsidies, which were introduced during the pandemic, have helped lower healthcare costs for millions of Americans. Without them, many people will face significant premium hikes, which could have major implications for the upcoming elections. While the outcome of the vote is uncertain, the fact that four Republicans have broken with their party’s leadership suggests that there may be bipartisan support for extending the subsidies. Ultimately, the fate of the bill will depend on the ability of Democrats and Republicans to find common ground and pass a measure that addresses the pressing issue of healthcare costs.