January 6, 2026


Senate Majority Leader Thune Highlights Key Elements for Bipartisan Health Care Agreement

Majority Leader John Thune has outlined the critical components needed for a bipartisan health care agreement to successfully pass through the Senate. During a recent briefing with reporters, Thune emphasized that any potential deal must address three main Republican priorities: establishing minimum premium payments, expanding health savings accounts (HSAs), and addressing federal funding restrictions for abortions known as the “Hyde issue.”

These components, according to Thune, are vital for gaining the necessary support within the Senate to achieve a "healthy majority." The proposal under discussion aims to integrate these elements with a two-year extension of the recently expired Affordable Care Act (ACA) enhanced subsidies. The expiration of these subsidies has reverted ACA tax credits back to their initial levels set in 2010, impacting many Americans' healthcare affordability.

A bipartisan group of senators has been actively negotiating the terms of this possible agreement, with discussions progressing but yet to culminate in a finalized deal. The proposed framework includes new minimum premium payments coupled with income restrictions, and broader cost-sharing reductions that would incrementally take effect in the agreement's second year.

Senator Bernie Moreno (R-Ohio), a key figure in the negotiations, provided updates to Thune on the ongoing discussions. Additionally, Thune held meetings with Senate Finance Chair Mike Crapo (R-Idaho) and Senate Health Chair Bill Cassidy (R-La.), who are spearheading the push to expand HSAs within the GOP.

Cassidy acknowledged the importance of White House support to advance these initiatives, stating, "We’re gonna need the White House support to get something done." The integration of these measures showcases the complex balancing act required to forge a health care deal that aligns with both party lines and addresses the pressing needs of American citizens.

As negotiations continue, all eyes are on this bipartisan group of senators to see if they can bridge their differences and deliver a health care solution that can withstand political pressures and provide tangible benefits to the public.