House GOP seeks off-ramp to sky-high health insurance costs for millions of Americans

House Republicans are mulling a healthcare cost reduction roadmap this month, while Speaker Johnson and Majority Leader Scalise build GOP consensus on reform measures.

Healthcare costs are set to rise for Americans across the U.S. starting next year, both Republicans and Democrats warn. (Wodicka/Ullstein Bild via Getty Images)

HSAs are accounts that allow people to set aside money pre-tax to pay for certain health expenses, but they are currently only available to people with high-deductible health insurance plans.

Expanding HSA use proved a common theme among House Republicans who spoke with Fox News Digital about what they want to see in their party’s health plan.

Another topic that came up frequently was reforming the pharmacy benefit manager (PBM) system, an issue that’s gotten bipartisan support in the past.

PBMs are third parties that act as intermediaries between pharmaceutical companies and those responsible for insurance coverage, often responsible for administrative tasks and negotiating drug prices.

PBMs have also been the subject of bipartisan ire in Congress, with both Republicans and Democrats accusing them of being part of a broken system to inflate health costs.

GOP UNVEILS PLAN FOR 'TRUMP HEALTH FREEDOM ACCOUNTS' TO REPLACE OBAMACARE SUBSIDIES WITH STATE WAIVERS

"I had my own pharmacies for over 32 years, and I can tell you, bringing prescription drug prices down is as simple as is addressing the middleman, the PBMs that are causing increases and causing prices to stay high for drugs," Rep. Buddy Carter, R-Ga., said. "That is one of the quickest and the easiest ways to bring prescription drug prices down, by reeling them in."

Republican lawmakers also more broadly called for a competitive marketplace of health insurance plans.

House Majority Whip Tom Emmer speaks during a press conference at the U.S. Capitol in Washington, Oct. 23, 2025. (Eric Lee/Getty Images)

CLICK HERE TO DOWNLOAD THE FOX NEWS APP

None of the conservatives who spoke with Fox News Digital expressed support for extending Obamacare tax credits that were enhanced during the COVID-19 pandemic, but which are set to expire at the end of this year.

It’s a push led by Democrats and some Republicans, however, who have introduced a range of options, from a one-year extension with certain reforms to House Democratic leaders’ push for a clean, three-year extension.

But whatever lawmakers come up with will likely have to get 60 votes to advance in the Senate, meaning some support from the left will be needed.

"There's a lot of good bipartisan healthcare policy legislation that can pass imminently and very soon, unless Democrats play the game of, ‘Oh, I don't want it to look like the Republicans are being productive on healthcare, so we're gonna stymie this, even though I agree with the policy,’" Moore said.

Elizabeth Elkind is a politics reporter for Fox News Digital leading coverage of the House of Representatives. Previous digital bylines seen at Daily Mail and CBS News.

Follow on Twitter at @liz_elkind and send tips to elizabeth.elkind@fox.com

https://www.foxnews.com/politics/house-gop-seeks-off-ramp-sky-high-health-insurance-costs-millions-americans