The U.S. House of Representatives voted 230-196 on Thursday to extend Affordable Care Act subsidies for three years and reverse massive cost increases that went into effect with the new year.
The reversal must still be approved by the U.S. Senate and President Donald Trump before becoming effective.
Alaska’s lone member of the House, Republican Rep. Nick Begich III, voted against the extension, as did 195 other Republicans.
Seventeen Republicans voted for the extension of subsidies that were enacted during the COVID-19 pandemic emergency, joining all of the chamber’s Democrats.
The House’s Republican leaders opposed the extension, but a handful of Republicans signed a petition in December to force a vote.
Begich did not sign that petition, and on Wednesday, he joined other Republicans in an unsuccessful procedural vote intended to block Thursday’s decision.
In a written statement explaining his vote on Thursday, Begich said extending subsidies would not fix the problems he sees with the Affordable Care Act, commonly known as Obamacare. “The health insurance system created by Democrats under Obamacare has proven completely unaffordable for the American healthcare customer,” the statement said. “An extension of Obamacare COVID subsidies does not fix what is broken.”
He said he would like to see reforms to the Affordable Care Act, without which he said the extension “has no credible pathway forward in the Senate.”
In December, Begich voted in favor of a Republican-proposed alternative to the extension. That alternative, which focuses on drug costs, would not stop or reverse the new cost increases and has thus far been rejected by the Senate.
The Congressional Budget Office reported that the alternative would reduce health insurance premiums for insured Americans but would also reduce the number of Americans who are insured.
“I remain committed to working on reforms that lower costs, expand access, and improve outcomes for all Americans,” Begich said in his statement. “Temporary extensions without meaningful reform are not the solution. Real reform that puts patients first is.”
In December, Alaska’s two U.S. Senators, Lisa Murkowski and Dan Sullivan — both Republicans — joined Senate Democrats in an unsuccessful attempt to advance a condition-free extension similar to the one passed by the House on Thursday.
That was a change in position for Sullivan, who had previously opposed extensions that were not coupled with changes to the Affordable Care Act.
Begich and Sullivan are each up for election this fall. Sullivan does not have a Democratic Party-backed opponent yet, but former U.S. House Rep. Mary Peltola is widely expected to enter the race this month.
Begich is being opposed by Anchorage pastor Matt Schultz. Alaska Democratic Party Chair Eric Croft said by email that Thursday’s vote will be a campaign issue in the fall.
“After allowing lifesaving ACA tax credits to expire on December 31, Nick Begich doubled down on his betrayal of Alaska families and blocked the extension of these credits,” he wrote. “We cannot afford these health care price hikes, and we won’t forget about Nick Begich’s betrayal this November.”