Iowa Republican U.S. Rep. Mariannette Miller-Meeks joined House GOP leaders to promote a health care overhaul they say would lower premiums and curb costs tied to the Affordable Care Act. But as Congress debates alternatives to extending ACA subsidies,

U.S. Rep. Mariannette Miller-Meeks is the lead sponsor on a GOP bill aimed at making health care more affordable, without extending ACA subsidies.

Affordable Care Act subsidies will expire at the end of the year, House Speaker Mike Johnson, R-La., effectively confirmed Tuesday—meaning premiums for enrollees will soon skyrocket. Johnson told reporters lawmakers “worked on it all the way through the weekend . . . and in the end there was not an agreement—it wasn’t made.”

Senators rejected a Democratic bill to extend ACA subsidies for three years and a Republican alternative that would have created new health savings accounts.

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