The legislation to continue ACA funds for three years passed with unanimous support from Democrats and a group of Republicans who rebelled against party leaders to force the vote.

The vote was 230-196, with 17 Republicans joining a unanimous Democratic caucus to pass the legislation. Most of the breakaway GOP lawmakers represent swing districts and are wary of health care becoming a political vulnerability in the 2026 midterms.

The bill would resurrect Affordable Care Act premium tax credits for about 22 million Americans after Republicans rejected bills last year to extend the money past the Dec. 31 deadline. Insurance premiums are estimated to double, on average, for those enrollees this year unless the funding is restored.

It now goes to the Senate, where Republican leaders have pronounced it dead on arrival. While many GOP senators have no interest in resurrecting the ACA funds, some say they’re open to a scaled-back version. A bipartisan Senate group is working toward a solution separate from the House bill, but they don’t yet have an agreement that stands a chance of becoming law.