A bipartisan group of House members, the Problem Solvers Caucus, has introduced a plan to extend COVID-era Affordable Care Act (ACA) subsidies, with reforms and long-term improvements. The Healthcare Optimization Protection Extension (HOPE) Act is the first step towards a potential resolution. This deal includes a two-year extension of healthcare subsidies for families earning up to $200,000, with higher-income brackets gradually losing their subsidies. New measures will also be implemented to prevent 'ghost beneficiaries' - subsidies paid to insurance companies without an actual person. This plan addresses the funding fight that led to the longest government shutdown, which ended without an extension commitment. If subsidies aren't extended, 22 million Americans buying insurance through the exchange face premium increases, some more than doubling. This could lead to millions becoming uninsured. The healthcare system may also face strain due to an increase in the number of uninsured Americans. Despite Republican leadership's refusal to commit to extending subsidies, they recognize the political reality that voters will blame them for price hikes. The Senate is working on a bipartisan measure, but details are yet to be revealed. President Trump prefers direct cash payments to Americans.