October 22, 2025

Senate Majority Leader John Thune gathered with fellow Republican senators on Wednesday to deliberate on the future of health care reforms, particularly focusing on the Affordable Care Act (ACA) subsidies, which are at the heart of the current government shutdown now stretching into its third week.
The closed-door meeting, which included Senate Majority Whip John Barrasso (R-Wyo.) and Senators Bill Cassidy (R-La.), Shelley Moore Capito (R-W.Va.), and Rick Scott (R-Fla.), aimed to unify the party's stance as Democrats insist on extending these critical subsidies. With the subsidies set to expire by year's end, the pressure mounts to find a sustainable path forward.
While details of the discussions are closely guarded, Barrasso hinted at a broad agenda. "We talked about a lot of different things," he stated, emphasizing the ongoing strategy sessions. However, he reaffirmed the Republican position that negotiations would remain stalled until the government reopens.
The meeting underscores the varying perspectives within the GOP ranks regarding the ACA subsidies. Some, like Senator Rick Scott, advocate for letting the subsidies lapse, potentially leading to significant shifts in health care coverage dynamics. Others, including Thune, appear open to extension, contingent on implementing stricter measures such as income caps and anti-fraud provisions to gain conservative support.
The Republicans are also contemplating coupling the subsidy issue with other health care proposals to appease conservative elements within the party. This strategy reflects a broader, more cohesive effort that includes discussions among House Republicans and consultations with the White House.
As the shutdown lingers, the stakes are high for both parties, with health care taking center stage in the political arena. The outcomes of these GOP deliberations could significantly influence the legislative landscape and the lives of millions of Americans dependent on ACA subsidies for their health care needs.