January 12, 2026

In a surprising turn of events in the U.S. Senate, freshman Republican Senator Bernie Moreno of Ohio, known for his staunch Trump allegiance, has emerged as a key figure in negotiations aimed at extending Obamacare subsidies. The discussions, which include a diverse group of bipartisan senators, are working to revive credits that expired on January 1.
Senator Moreno, who won his seat after defeating Democrat Sherrod Brown, has become an unexpected bridge between hardline Republicans and bipartisan dealmakers. His involvement is pivotal as he maintains a direct line to former President Trump, whose approval could significantly influence the smooth passage of any potential agreement.
During a recent interview, Moreno highlighted his commitment to the American people, stating, "Putting America first means putting Americans first.” He aims to rally substantial GOP support, not just a few defections, for the deal.
Senate Majority Leader John Thune lauded Moreno for his proactive approach and ability to find common ground, a critical asset in the current polarized climate. Moreno's fresh perspective and lack of historical political wounds appear to be advantages as he navigates these complex negotiations.
The group, self-nicknamed the “EPTC OG gang,” is discussing a two-year extension of enhanced premium tax credits. The proposed changes include a $5 monthly minimum premium and a cap on incomes eligible for the credits at 700 percent of the federal poverty level. Additionally, they are considering an innovative approach of allowing enrollees to take their subsidy as cash in health savings accounts, a method favored by Trump.
However, the talks face significant hurdles, particularly regarding provisions related to abortion funding. Democrats insist that existing safeguards are adequate, while some Republicans push for stricter measures. This dispute has intensified after Trump's recent flexible stance on abortion, which sparked backlash from conservative groups.
Despite these challenges, Moreno remains optimistic but cautious, acknowledging that reaching a consensus is still uncertain. "We're in the red zone," Moreno noted, suggesting that the text of the agreement could be ready soon, though the path forward remains fraught with political sensitivities.
As negotiations continue, the stakes are high not just for the individuals involved but also for the hundreds of thousands of Americans who depend on these subsidies for their health care. The outcome could significantly impact the political landscape as the next election cycle looms.