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Results for " republic " 5,662 found 🔀 AI-powered Shuffle

Marjorie Taylor Greene blasts Trump, Reiner's death 'not about politics'

'This is a family tragedy, not about politics or political enemies,' Greene, a Republican and long-time Trump ally, wrote in a separate post on X.

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Dec 15, 2025 • 3:08 PM EST • Politics • usatoday.com
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THE WEEK OF DEC 15, 2025

- NSF seeks input on new funding structure - Academies propose Mars mission plans - Science Republicans investigate civil rights offices

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Dec 15, 2025 • 3:07 PM EST • Science • aip.org
On Politics: Republicans are giving Kathy Hochul a re-election gift

It was already going to be hard for Elise Stefanik, the Republican congresswoman, to beat Gov. Kathy Hochul next year.Now she’ll have to contend with Bruce Blakeman, who recently announced his plans to run for governor and will, at the minimum, make life more difficult for her in the Republican primary. Stefanik has come out swinging against the Nassau County executive, attacking him as a perennial candidate who is too liberal for Republican primary voters.Stefanik should win. A large chunk of the GOP primary vote is concentrated north of the New York City suburbs, where she is strongest. She has the support of the state party chair, Ed Cox, and a wide array of politicians and local organizations. She is a loyal ally of Donald Trump and a frequent presence on cable TV.

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Dec 15, 2025 • 12:30 PM EST • Politics • crainsnewyork.com
ESA students on public school sports teams? This bill would allow it

Sen. John Kavanagh, a Republican from Fountain Hills, pitched a similar effort in the last legislative session.

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Dec 15, 2025 • 7:02 AM EST • Sports • azcentral.com
The Week Ahead: Republicans face a health care dilemma

Republicans are staring down a major health care challenge as Affordable Care Act (ACA) subsidies are set to expire at the end of the month. With a two-week recess beginning Dec. 22, they only have…

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Dec 15, 2025 • 6:00 AM EST • Health • thehill.com
Here’s what’s in the House GOP health care bill

House Republicans are set to vote this week on their version of a health care bill as the expiration of the enhanced Affordable Care Act subsidies looms ever closer.

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Dec 15, 2025 • 5:00 AM EST • Health • cnn.com
Here’s what’s in the House GOP health care bill

House Republicans are set to vote this week on their version of a health care bill as the expiration of the enhanced Affordable Care Act subsidies looms ever closer.

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Dec 15, 2025 • 5:00 AM EST • Politics • cnn.com
Health care week in the House

House Republican leaders have a plan to curb rising health care costs — and it doesn’t include an extension of the expiring enhanced Affordable Care Act tax credits.

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Dec 15, 2025 • 5:00 AM EST • Health • politico.com
Nearly 1 in 4 Americans say the U.S. health care system is in crisis

A new Gallup poll found that about eight in 10 Democrats, and 64 percent of Republicans, say the system is in crisis or has “major problems.”

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Dec 15, 2025 • 4:00 AM EST • Health • washingtonpost.com
Inside California Politics: Dec. 13, 2025

(Inside California Politics) — Tech entrepreneur Jon Slavet has announced his candidacy for the 2026 California gubernatorial race, running as a Republican after previously being a Democrat. Slavet…

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Dec 14, 2025 • 9:00 PM EST • Politics • fox40.com
Harris County Democratic Party reprimands Houston Mayor John Whitmire, withholds future endorsement

A progressive group pushed through a measure to bar Whitmire from receiving the party’s endorsement. It came nearly eight months after he attended a fundraiser for a Republican congressman.

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Dec 14, 2025 • 6:32 PM EST • Politics • houstonpublicmedia.org
Data center boom creates political conundrum for the GOP

President Donald Trump is all in on the artificial intelligence build-out. Other Republicans are being more cautious.

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Dec 14, 2025 • 10:57 AM EST • Politics • politico.com
Sen. Bill Cassidy says "there's a deal to be had" on health care after failed Senate votes

Sen. Bill Cassidy, a Louisiana Republican, said "there's a deal to be had" on a plan to address health care costs after a pair of bills failed to secure enough support to advance in the Senate last week.

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Dec 14, 2025 • 10:41 AM EST • Health • cbsnews.com
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Sen. Rand Paul says redistricting could lead to political violence

The Kentucky Republican said he believes redistricting efforts across the political aisle are a "mistake" that could lead voters to feel disenfranchised.

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Dec 14, 2025 • 10:25 AM EST • Politics • nbcnews.com
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Ben Gibson reappointed General Counsel of Republican National Lawyers Association

Gibson was one of Florida’s electors in the presidential election for 2024 in the Electoral Collage.

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Dec 14, 2025 • 9:55 AM EST • Politics • floridapolitics.com
Week in politics: Crunch time for new health insurance plans, Trump sued over White House renovations, Americans killed by ISIS

Despite being in control of the White House and Congress, Republicans have been unable to pass their health care agenda. We look at why that's the case, as well as a new lawsuit against the president.

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Dec 14, 2025 • 8:34 AM EST • Politics • kuow.org
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Week in politics: Crunch time for new health insurance plans, Trump sued over White House renovations, Americans killed by ISIS

Despite being in control of the White House and Congress, Republicans have been unable to pass their health care agenda. We look at why that's the case, as well as a new lawsuit against the president.

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Dec 14, 2025 • 8:01 AM EST • Health • npr.org
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Week in politics: Crunch time for new health insurance plans, Trump sued over White House renovations, Americans killed by ISIS

Despite being in control of the White House and Congress, Republicans have been unable to pass their health care agenda. We look at why that's the case, as well as a new lawsuit against the president.

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Dec 14, 2025 • 8:01 AM EST • Politics • npr.org
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Another blue wave? Meet the Democrat trying to make it happen and the Republican trying to stop her

Brian Jack is a first-term Republican congressman from Georgia, but he’s become a key figure in the Oval Office

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Dec 14, 2025 • 7:34 AM EST • Politics • washingtonpost.com
More redistricting bad news for Republicans: Texas may not net five GOP seats like they planned

The Republican plans to pick off five Democratic-held congressional seats in Texas once seemed like a sure thing. Not anymore.

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Dec 14, 2025 • 7:00 AM EST • Politics • cnn.com
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Analysis | Rank-and-file Republicans feel heat from constituents on health care

As efforts to address expiring Obamacare subsidies stall in Congress, members of Trump’s party say it’s time to find a way to help millions afford health insurance.

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Dec 14, 2025 • 6:00 AM EST • Health • washingtonpost.com
Analysis | Rank-and-file Republicans feel heat from constituents on health care

As efforts to address expiring Obamacare subsidies stall in Congress, members of Trump’s party say it’s time to find a way to help millions afford health insurance.

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Dec 14, 2025 • 6:00 AM EST • Politics • washingtonpost.com
California Politics 360 Full Episode | Prop 50 court hearing, California Men's Service Challenge

California leaders and Republicans will try to make their case in court as to whether the state should keep its new congressional maps.

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Dec 13, 2025 • 7:14 PM EST • Politics • kcra.com
Former Republican congressman on why it's so hard to get bipartisan consensus on healthcare

Fred Upton, a former Republican congressman from Michigan, discusses the Senate's failed health care votes and the political fallout of rising insurance premiums.

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Dec 13, 2025 • 5:54 PM EST • Politics • npr.org
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After failure in the Senate, House GOP has its own health care proposal

House Republicans released proposed legislation late Friday that would not extend enhanced Affordable Care Act tax subsidies.

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Dec 13, 2025 • 4:14 PM EST • Health • npr.org
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5 things to watch after the Senate’s failed health care votes

The Senate this week failed to pass dueling bills from Republicans and Democrats to address a looming spike in health insurance costs for people who buy Affordable Care Act (ACA) plans. The result …

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Dec 13, 2025 • 12:00 PM EST • Politics • thehill.com
5 things to watch after the Senate’s failed health care votes

The Senate this week failed to pass dueling bills from Republicans and Democrats to address a looming spike in health insurance costs for people who buy Affordable Care Act (ACA) plans. The result …

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Dec 13, 2025 • 12:00 PM EST • Health • thehill.com
Speaker Johnson unveils health care plan as divided Republicans scramble for alternative

The Senate failed to get anywhere on health care this week. Now it’s the House’s turn. Speaker Mike Johnson late Friday released a package of proposal to address growing health care costs.

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Dec 13, 2025 • 10:14 AM EST • Health • mprnews.org
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After House GOP's unprecedented cuts, a potentially long wait for info

A small group of House Republicans single-handedly cut hundreds of millions in previously approved spending. The full impact remains unknown.

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Dec 13, 2025 • 6:05 AM EST • Politics • freep.com
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House GOP offers health care bill without Obamacare subsidies

House Republicans offer health care bill without extending Obamacare subsidies but Democrats oppose the proposal.

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Dec 12, 2025 • 9:51 PM EST • Politics • usatoday.com
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House GOP offers health care bill without Obamacare subsidies

House Republicans offer health care bill without extending Obamacare subsidies but Democrats oppose the proposal.

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Dec 12, 2025 • 9:51 PM EST • Health • usatoday.com
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Wilmington small business owner announces NC Senate District 7 candidacy

Wilmington small business owner Jessica Bichler filed for candidacy in N.C. Senate District 7, announcing her bid for a seat Democrats view as a key opportunity to break the Republican supermajority in 2026.

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Dec 12, 2025 • 9:29 PM EST • Business • wect.com
Inside Republicans' new health bill

House GOP leaders plan to take a vote next week on conservative-friendly health policies they’ve pursued for years.

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Dec 12, 2025 • 7:54 PM EST • Health • politico.com
House Republicans propose healthcare plan with no extension of tax credits

With insurance premiums set to rise sharply for at least 22 million Americans, Mike Johnson unveils alternative

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Dec 12, 2025 • 7:45 PM EST • Health • theguardian.com
Speaker Johnson unveils health care plan as divided Republicans scramble for alternative

The legislation, unveiled Friday, is a last-minute sprint as Johnson's party refuses to extend the enhanced tax subsidies for those who buy policies through the Affordable Care Act.

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Dec 12, 2025 • 7:10 PM EST • Health • bostonglobe.com
Why both parties' health care proposals are failing

NBC News’ Ryan Nobles stopped by “Here’s the Scoop” to talk about why the Republican-controlled Senate voted to reject health care bills offered by each party as the U.S. barrels toward a cliff with steep premium hikes for millions of Americans.

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Dec 12, 2025 • 6:50 PM EST • Health • nbcnews.com
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Trump was unable to insult his way to victory in Indiana redistricting battle

Indiana Republican senators turned down President Donald Trump's redistricting proposal this week.

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Dec 12, 2025 • 5:48 PM EST • Politics • newsday.com
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For Republicans, Trump’s Hands-Off Approach to Health Care Is a Problem

The prospect of soaring health care costs could exacerbate Americans’ feelings about affordability, an issue that President Trump has tried to downplay. But Democrats plan to keep the issue front and center.

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Dec 12, 2025 • 5:42 PM EST • Health • nytimes.com
House GOP unveils health care bill without ObamaCare subsidies extension

House Republicans on Friday unveiled a health care bill they will bring to a vote next week that includes items that are broadly popular in the party, like cost sharing reductions and reforms to th…

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Dec 12, 2025 • 5:23 PM EST • Health • thehill.com
House GOP unveils narrow health care package with key deadline looming

House Republicans unveiled a narrow health care package on Friday that does not extend soon-to-expire enhanced Affordable Care Act subsidies — the latest sign that Congress is unlikely to avert skyrocketing insurance premiums for millions of Americans in the new year.

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Dec 12, 2025 • 5:18 PM EST • Health • cnn.com
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House GOP unveils narrow health care package with key deadline looming

House Republicans unveiled a narrow health care package on Friday that does not extend soon-to-expire enhanced Affordable Care Act subsidies — the latest sign that Congress is unlikely to avert skyrocketing insurance premiums for millions of Americans in the new year.

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Dec 12, 2025 • 5:18 PM EST • Politics • cnn.com
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House Republicans unveil healthcare plan, set up vote for next week

House Republicans unveil a new healthcare proposal to address rising health insurance costs and extend ACA subsidies

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Dec 12, 2025 • 5:17 PM EST • Health • washingtonpost.com
Speaker Johnson scrambles to find a health care plan as Republicans remain divided

The Senate failed to get anywhere on health care this week.

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Dec 12, 2025 • 5:04 PM EST • Health • seattletimes.com
Speaker Johnson scrambles to find a health care plan as Republicans remain divided

The Senate failed to get anywhere on health care this week. Now it’s the House’s turn. Speaker Mike Johnson is rushing to compile a package of bills to address growing health care costs.

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Dec 12, 2025 • 5:03 PM EST • Health • apnews.com
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Democrats celebrated Indiana Republicans refusing to redistrict. They’re still moving ahead with their own redistricting push

One day after Indiana Republicans decided to forego political gains by rejecting a new US House map, congressional Democrats made clear Friday they would still press ahead for potential gains in states their party controls.

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Dec 12, 2025 • 4:58 PM EST • Politics • cnn.com
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House GOP details health plan for vote next week

House Republicans are bringing GOP ideas aimed at lowering health care costs for votes next week.

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Dec 12, 2025 • 4:30 PM EST • Health • axios.com
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Indiana was the only red state to defy Trump on redistricting. Why?

A majority of Indiana Republican senators said no to President Donald Trump on redistricting. What makes Hoosiers different?

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Dec 12, 2025 • 3:28 PM EST • Politics • indystar.com
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Analysis: 24 hours that showed the limits of Trump’s power

The Indiana state Senate’s vote against a new congressional map that President Donald Trump had pressured it to adopt was one of the most extraordinary examples to date of Republicans standing up to Trump.

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Dec 12, 2025 • 3:27 PM EST • Politics • cnn.com
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The Republicans’ Endangered Health

The refusal to extend ACA subsidies becomes a huge political liability and signals deepening splits.

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Dec 12, 2025 • 3:00 PM EST • Health • prospect.org
GOP health care chaos spills into battleground midterm races

Republican Senate candidates aren’t on the same page about extending Obamacare subsidies, reflecting a broader tension that is creeping into House and Senate races.

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Dec 12, 2025 • 11:46 AM EST • Health • politico.com
Veteran Dem. operative offers scathing 6-word rebuke of Trump

The operative said that Trump was "done" in several states where Democrats defeated Republicans in elections this year.

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Dec 12, 2025 • 10:53 AM EST • Politics • masslive.com
Why affordability is the 'beating heart' of the ACA enhanced subsidy debate, health policy experts say

Health plans proposed by Senate Democrats and Republicans failed on Thursday, making it more likely enhanced ACA subsidies would expire at year end.

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Dec 12, 2025 • 10:17 AM EST • Health • cnbc.com
Obamacare Changed the Politics of Health Care

It’s one thing for Republicans to deny hypothetical care. It’s another to take this tangible benefit away.

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Dec 12, 2025 • 9:55 AM EST • Health • theatlantic.com
Obamacare Changed the Politics of Health Care

It’s one thing for Republicans to deny hypothetical care. It’s another to take this tangible benefit away.

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Dec 12, 2025 • 9:55 AM EST • Politics • theatlantic.com
GOP defectors raise the heat on Republicans over health vote subsidies

GOP leaders in both chambers of Congress are under growing pressure from rank-and-file Republicans to address health insurance premiums that are expected to soar next year, fueling concerns the nat…

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Dec 12, 2025 • 6:00 AM EST • Health • thehill.com
Republicans and Democrats can work together on healthcare, says Trump, as rise in premiums looms

President spoke at Congressional ball after Senate rejected two competing proposals to address imminent expiration of Obamacare subsidies

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Dec 12, 2025 • 5:39 AM EST • Politics • theguardian.com
Sen. Warnock: Democrats have “ceded” religion to Republicans
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Dec 12, 2025 • 2:13 AM EST • Politics • cnn.com
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Trump targets Indiana GOP Senate leader after defeat of redistricting plan

President Trump said he hopes the top Republican in the Indiana state Senate loses his next primary after Indiana rejected a redistricting plan.

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Dec 11, 2025 • 9:56 PM EST • Politics • usatoday.com
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WATCH: Trump criticizes Indiana Senate Republicans' rejection of redistricting effort

After Republican legislators in Indiana joined with Democrats to vote down a plan to redraw the state's congressional map on Thursday, President Donald Trump said he would support a primary against a GOP state Senate leader.

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Dec 11, 2025 • 8:02 PM EST • Politics • pbs.org
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DC Wrap: Indiana Republicans say no to redistricting despite pressure from Trump

Also, the Senate rejected two health care reform bills and an update on a National Guard member wounded last month in Washington

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Dec 11, 2025 • 6:14 PM EST • Politics • spectrumlocalnews.com
Indiana Republicans block new congressional map in rare break with Trump

Indiana's Republican-led senate voted against a redrawn congressional map Thursday that would have favored their party in the 2026 elections, despite months of pressure by President Donald Trump for a rare mid-cycle redistricting.

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Dec 11, 2025 • 5:34 PM EST • Politics • pbs.org
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Indiana Senate Republicans reject Trump’s redistricting push
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Dec 11, 2025 • 5:14 PM EST • Politics • cnn.com
‘We have failed’: Murkowski, Sullivan call for compromise after Democratic proposal to extend health care subsidies stalls

Alaska’s U.S. Sens. Lisa Murkowski and Dan Sullivan were among four Republicans who voted in favor of extending the tax credits.

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Dec 11, 2025 • 5:03 PM EST • Health • adn.com
In a setback for Trump, Indiana lawmakers defeat redistricting plan

Republicans resisted the call by President Trump for redistricting. He and the state's Republican governor threatened to back primary challenges against Senators who wouldn't get on board.

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Dec 11, 2025 • 4:48 PM EST • Politics • npr.org
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Health insurance subsidies expire this month but Congress can't agree on a fix : The NPR Politics Podcast

The enhanced subsidies 22 million Americans use to help pay for health insurance are set to expire at the end of this month, and when they do, many Americans will see their insurance premiums balloon. We discuss Democrats' and Republicans' competing proposals to address rising healthcare costs and whether Congress is likely to come to an agreement before — or after — the looming deadline. This episode: political correspondent Sarah McCammon, congressional correspondent Deirdre Walsh, and health policy correspondent Selena Simmons-Duffin.This podcast was produced by Casey Morell and Bria Suggs, and edited by Rachel Baye.Our executive producer is Muthoni Muturi.Listen to every episode of the NPR Politics Podcast sponsor-free, unlock access to bonus episodes with more from the NPR Politics team, and support public media when you sign up for The NPR Politics Podcast+ at plus.npr.org/politics.

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Dec 11, 2025 • 4:41 PM EST • Politics • npr.org
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Indiana Senate Republicans reject Trump’s redistricting push

The Indiana Senate on Thursday voted down a plan to redraw the state’s congressional districts to hand Republicans two more seats, dealing President Donald Trump a rare rebuke from his own party in the face of the president’s months-long campaign to pressure the GOP supermajority in the deep-red state to bend to his will.

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Dec 11, 2025 • 4:37 PM EST • Politics • cnn.com
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Failure of rival health bills underscores impasse in US politics

Democrats voted down a Republican bill that would have provided limited relief for out-of-pocket healthcare costs.

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Dec 11, 2025 • 2:52 PM EST • Health • aljazeera.com
Failure of rival health bills underscores impasse in US politics

Democrats voted down a Republican bill that would have provided limited relief for out-of-pocket healthcare costs.

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Dec 11, 2025 • 2:52 PM EST • Politics • aljazeera.com
Video Competing Democrat, Republican health care proposals both fail in the Senate

The Senate failed to advance two competing health care proposals aimed at addressing a spike in costs expected for tens of millions of Americans who receive enhanced Affordable Care Act tax credits.

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Dec 11, 2025 • 2:35 PM EST • Health • abcnews.go.com
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After a year of Trump-inspired inaction, some Republicans in Congress are growing restless

A year after President Donald Trump’s election and with next year’s midterms looming, congressional deference to the White House is showing signs of wearing on some Republicans.

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Dec 11, 2025 • 1:38 PM EST • Politics • cnn.com
Blame Republicans for our health insurance mess

Conservatives haven’t taken health policy seriously for decades.

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Dec 11, 2025 • 1:30 PM EST • Health • vox.com
Republicans block bill to extend expiring health insurance subsidies

Senate Republicans on Thursday blocked a motion to advance a Democrat-drafted bill to extend enhanced health insurance premium subsidies that are due to expire at the end of 2025, tax credits that …

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Dec 11, 2025 • 1:06 PM EST • Health • thehill.com
Senate rejects ACA funding and a Republican alternative with premiums set to spike

Two bills failed to secure the necessary 60 votes to break a filibuster and advance Thursday. Congress has no deal ahead of a Dec. 31 deadline to avoid premium hikes under Obamacare.

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Dec 11, 2025 • 1:05 PM EST • Health • nbcnews.com
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Senate GOP health care plan fails on mostly party-line vote

LIVE coverage: Senate votes on second health care proposal, defense funding A Republican-drafted proposal to set up health savings accounts for people who buy their health insurance on the Affordab…

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Dec 11, 2025 • 12:31 PM EST • Health • thehill.com
Dueling Senate bills to address health care affordability fail to pass

The Senate today failed to pass legislation to address health care affordability. The chamber first voted on a Republican-backed bill that failed by a 51-48 vote. The bill would have disbursed $1,000 in health spending accounts for individuals age 18-49 and $1,500 for those age 50-64. A Democrat-led plan that would have extended the enhanced premium tax credits for three years also failed by a 51-48 tally. The bills needed 60 votes to pass.

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Dec 11, 2025 • 10:21 AM EST • Health • aha.org
Senate Deadlocks Over Obamacare Subsidies in Dueling Votes

Republicans blocked Democrats’ effort to extend the expiring subsidies while Democrats thwarted a G.O.P. proposal to replace them with direct payments for basic health coverage.

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Dec 11, 2025 • 9:38 AM EST • Health • nytimes.com
Capitol agenda: GOP’s health revolt heads to the Senate

John Thune and Mike Johnson can’t get Republicans on the same page on health care.

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Dec 11, 2025 • 8:00 AM EST • Health • politico.com
House GOP axes $645M from funds aiding infrastructure, children, vets

House Republicans invoked a rarely used tool that allows a committee to deny administration requests to carry over funding from one year to the next.

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Dec 11, 2025 • 7:59 AM EST • Politics • freep.com
Why Indiana Republicans Are Standing Up to Trump

Small-c conservatism is still a point of pride in the state.

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Dec 11, 2025 • 7:11 AM EST • Politics • theatlantic.com
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Video Senate poised to cast votes on competing health care proposals

Both plans, one put forward by Democrats and the other championed by Republicans, are almost certain to fail.

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Dec 11, 2025 • 6:48 AM EST • Health • abcnews.go.com
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Data center boom creates political conundrum for the GOP

President Donald Trump is all in on the artificial intelligence build-out. Other Republicans are being more cautious.

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Dec 11, 2025 • 6:34 AM EST • Politics • eenews.net
Analysis | Warnock: Dems have ‘ceded’ to Republicans on religion

The Washington Post’s essential guide to power and influence in D.C.

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Dec 11, 2025 • 6:00 AM EST • Politics • washingtonpost.com
With Republicans Divided, Indiana Senate Set to Vote on Redistricting

President Trump wants a new congressional map in Indiana that would boost Republicans, but he has struggled to win over some state lawmakers in his party.

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Dec 11, 2025 • 5:02 AM EST • Politics • nytimes.com
Republicans worry Trump is missing the mark on affordability

President Donald Trump’s high-profile economic speech on Tuesday night was meant to alleviate Americans’ concerns about the cost of living. Instead, it mainly appeared to deepen fears within the GOP that he’s not quite getting it.

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Dec 11, 2025 • 5:00 AM EST • Politics • cnn.com
Republicans struggle to unite on health care as Obamacare subsidies expire

Recent weeks have showcased a free-for-all of competing GOP ideas and reinforced deep partisan divisions over the issue.

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Dec 11, 2025 • 5:00 AM EST • Health • washingtonpost.com
The health care affordability wars

The Senate will vote on competing health care bills today, and both Democrats and Republicans claim their plans are the more affordable option for tens of millions of enrollees.

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Dec 11, 2025 • 5:00 AM EST • Health • politico.com
Health insurers ask GOP to fix their fraud problem — and extend Obamacare subsidies

In a last-minute plea, insurers are urging Republicans to crack down on fraud in their industry.

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Dec 11, 2025 • 4:45 AM EST • Health • politico.com
A divided GOP forges ahead on health care message — without plan to address spiking premiums

Congressional Republicans are taking a major political gamble this week, laying out a GOP health care agenda that ignores the soon-to-expire enhanced subsidies that help tens of millions of Americans afford Obamacare — despite pleas from some in their own party.

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Dec 11, 2025 • 12:02 AM EST • Health • cnn.com
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A divided GOP forges ahead on health care message — without plan to address spiking premiums

Congressional Republicans are taking a major political gamble this week, laying out a GOP health care agenda that ignores the soon-to-expire enhanced subsidies that help tens of millions of Americans afford Obamacare — despite pleas from some in their own party.

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Dec 11, 2025 • 12:02 AM EST • Politics • cnn.com
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The New WHO Pandemic Treaty and Global Health Governance: Incorporating Common but Differentiated Responsibilities into PABS  - Georgetown Journal of International Affairs

On May 20, 2025, the World Health Assembly unanimously adopted the World Health Organization (WHO) Pandemic Agreement, an international treaty designed to strengthen pandemic prevention, preparedness, and response. The product of three years of arduous negotiations, the treaty marks a new era of global cooperation in public health. However, core aspects of the agreement remain unresolved—notably the Pathogen Access and Benefit-Sharing (PABS) System, which is intended to ensure equitable access to pandemic-related materials and benefits. To support the successful implementation of the WHO Pandemic Agreement, the principle of “common but differentiated responsibilities” should be formally incorporated into the negotiating agenda of the PABS annex. Introduction For the first time, an international treaty has enshrined the principle of “One Health,” the compelling idea that the health of animals, humans, and the environment all contribute to pandemic risks. SARS (2003), H1N1 (2009–10), Ebola (2014–16), and COVID-19 all emerged through zoonotic spillover from animal hosts—respectively, civets, hogs, and bats. Together, they underscore the need for a coordinated, cross-sectoral approach. The Pandemic Agreement responds to this call, requiring state parties to acknowledge the ecological interplay and commit to a comprehensive “One Health” strategy. Specifically, Article 5 charges governments to address “the drivers of pandemics and the emergence and re-emergence of infectious disease at the human-animal-environment interface,” including wild animal markets, deforestation, and antibiotic overuse. Yet the effectiveness of this “One Health” vision depends equally on the free flow of scientific information and data among countries and institutions. Just as environmental and animal health factors have been neglected in past global frameworks, so too has data sharing been marginalized, despite its centrality to timely detection and response. The Pandemic Agreement takes an important step by requiring governments to enhance data collection and cooperate with the World Health Organization (WHO). However, these provisions will remain aspirational without a robust Pathogen Access and Benefit-Sharing (PABS) annex. The PABS system will determine whether countries and researchers can rapidly exchange pathogen samples and genetic data while ensuring equitable access to resulting research and development, including diagnostics, therapeutics, and vaccines. Without such mechanisms, the treaty’s promise to operationalize “One Health” and strengthen global preparedness will risk becoming largely symbolic, echoing earlier failures to translate shared principles into coordinated action. Equity Concerns When the 2025 Health Assembly adopted the Pandemic Agreement, it left the difficult question of access to pathogens and the sharing of resulting benefits to be addressed in a separate agreement. Negotiations on this separate agreement, PABS, are now underway in Geneva. Yet governments remain divided over fundamental questions of equity between the countries that primarily contribute to the system and those that primarily draw from it—and consequently benefit. For example, wildlife in countries bordering the equator is likely to produce PABS materials, but companies in Europe are likely to use them to develop lucrative products. The most likely contributor countries are likely to be those biodiverse countries around the equator, such as Brazil, the Democratic Republic of the Congo, and Indonesia, where the number of human-mammalian viral host interactions is large. Conversely, countries most likely to benefit from this material are those with the technology, investors, and infrastructure to capitalize on genomic data, such as the United States, EU member states, and Japan. This imbalance reflects a broader pattern seen in prior international frameworks. Now, as in the past, the wealthiest countries in the world (a useful heuristic is membership of the Organisation for Economic Co-operation and Development (OECD)) disproportionately benefit from systems in which pathogens and genomic sequencing data are contributed to a common source. Under the International Agreement on Plant Genetic Resources for Food and Agriculture (the “Plant Treaty” or “Seed Treaty”) and the Pandemic Influenza Preparedness (PIP) Framework, companies from Europe and North America disproportionately withdraw biological samples and data for development into lucrative medical products. Their governments and companies have both statutory and contractual claims to the products that those companies correspondingly produce. PABS appears poised to follow the same pattern. The text calls for strong language on access to pathogens and associated data, but the corresponding benefits that should flow to poorer countries are couched in equivocal or non-binding language. Common but Differentiated Responsibilities To address these inequities, the principle of “common but differentiated responsibilities” should be formally incorporated into the negotiating agenda of the PABS annex. Common but differentiated responsibilities are often a feature of climate change negotiations. The basic principle is that, even though all countries should reduce carbon emissions, governments that became rich and powerful through massive carbon emissions (e.g., France, the United Kingdom, the United States) should have a greater obligation to address the resulting crises. Applied to PABS, it would require that governments hosting and supporting companies developing lucrative products carry greater obligations toward the cost of running the PABS system; share benefits or final medical products; and transfer technology to help countries worldwide develop their own capacities to innovate and manufacture vaccines during an emergency. For example, an annex could mandate that any company based in an OECD country that withdraws PABS material would be obligated to donate the resulting diagnostics, therapeutics, or vaccines to the WHO during a public health emergency or pandemic. Questions remain about how robust those donations would be, but the principle is that they should deliver highly significant lifesaving benefits to be equitably shared. Theoretically, this approach mirrors the PIP Framework, in which companies withdrawing influenza samples are required to pay half of the operating costs. In practice, however, the framework has fallen short. The PIP Framework Secretariat has struggled to secure payments from companies, with companies often disagreeing over how much is owed. Additionally, without another pandemic influenza to test the strength of the agreement during a public health emergency, corporate compliance with sharing mechanisms remains unknown. Even if these limitations did not characterize the PIP Framework, partially paying for operating expenses does not address the inequity in access to genetic data and pathogen samples that left less developed countries last in line for COVID-19 vaccines (and, before them, H1N1). Common but differentiated responsibilities would go further, addressing governments’ legitimate grievances regarding information sharing. It would make withdrawals of PABS material and resulting products more transparent, building trust across the board. Enforcement and Enduring Success A key implication of this approach is that the governing mechanism of the PABS must have real enforcement authority. The WHO Pandemic Agreement delegates its core governance responsibilities to a Conference of the Parties (COP)—a governing body composed of one representative from each participating government, similar to those established under the UN Framework Convention on Climate Change and the WHO Framework Convention on Tobacco Control. The proposed WHO Pandemic Agreement COP is charged with oversight functions but ultimately possesses no real authority to compel a government to take any action it does not wish to take. The text does not give the COP the ability to, for example, sanction a party that does not comply with either textual obligations or PABS provisions. In other words, there are no effective mechanisms in place to ensure compliance. Perhaps just as significant, establishing a meaningful enforcement mechanism within the PABS system would strengthen the WHO’s credibility and its ability to ensure compliance across global health governance. By setting a precedent for accountability, such a mechanism could enhance the organization’s authority not only within the Pandemic Agreement but also in enforcing the revised International Health Regulations and other frameworks for public health emergencies. Conclusion The PABS annex can—and should—be different. It should establish clear responsibilities for funding as well as for sharing the diagnostics, therapeutics, and vaccines that result from contributions to the system. The system, in turn, must include a dedicated body empowered to hold governments and the corporations they sponsor accountable for their responsibilities before, during, and after pandemics. Doing so would restore trust in the broader agreement, which was eroded as commitments were repeatedly diluted while parties scrambled to meet their own self-imposed deadlines during the Pandemic Agreement negotiations. A robust PABS Annex would cement a grand social bargain. Wealthier countries and their corporations would gain unimpeded access to scientific information essential for developing and manufacturing lifesaving medical products. As such, they would stand to gain considerable economic benefit. Yet that privilege must be matched with responsibility. The grand bargain must include not only the right to innovate, but also the duty to ensure that innovation serves all. As medical products are developed and produced through collective contributions, every person must have equal access. All human beings deserve an equitable chance to survive—to save their own life, the lives of their families, and the well-being of their communities. … Sam Halabi, JD, MPhil, is the Bette Jacobs Endowed Professor at Georgetown University’s School of Health and the Director of the Center for Transformational Health Law at Georgetown Law. He serves as the co-lead for the WHO’s Working Group on Regulatory Consideration on AI and Health’s training workstream. He earned his JD from Harvard, his MPhil from Oxford, and undergraduate degrees from Kansas State University. Lawrence Gostin, LLD (Hon.), JD, BA, is University Distinguished Professor and Founding Director and Timothy and Linda O’Neill Professor of the O’Neill Institute for National and Global Health Law. He is the author of Global Health Security: A Blueprint for the Future (Harvard University Press, 2021); Global Health Law (Harvard University Press, 2014); Public Health Law: Power, Duty, Restraint (University of California Press, 3rd ed., 2016); Public Health Law and Ethics: A Reader (University of California Press, 3rd ed., 2018); Law and the Health System (Foundation Press, 2014); Principles of Mental Health Law & Practice (Oxford University Press, 2010). He also directs the WHO Collaborating Center at Georgetown University. Image Credit: United States Mission Geneva, CC BY 2.0, via Wikimedia Commons

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Dec 11, 2025 • 12:00 AM EST • Health • gjia.georgetown.edu
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