Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026

Floor Speech

Date: Jan. 14, 2026
Location: Washington, DC


My colleague's proposal offers nothing new. The Senate has already rejected a so-called clean 3-year extension of the enhanced COVID credits in December. None of the reasons we rejected this measure then have changed. Perpetuating a fraudulent, failed system without reforms is not a solution. Declining to offer consumers more choice and control over their healthcare is not a solution. Handing insurers an additional $80 billion of taxpayer money is not a solution.

Both sides agree that the costs of healthcare are too high. We knew that years ago when these credits were created and again when they were extended, but rather than fix that problem, the credits only exacerbated the underlying issues that are driving up the costs. We cannot continue to rely on the same broken policies to fix those systemic problems.

In December, Senator Cassidy and I proposed to begin the process of true healthcare reform. Directing funds to HSAs controlled by patients instead of insurers would spur competition, prevent fraud, and reduce costs. Unfortunately, my colleagues on the other side of the aisle rejected this proposal. Each side knows what the other side cannot accept. A real solution must respect those boundaries and chart a new path forward.

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