With the midterms bearing down on them, Republicans are facing a nasty intraparty fight early next year over their legislative agenda: Should they attempt to pass a party-line bill focused on health care after failing to address expiring insurance subsidies?

GOP factions have been divided for months about the prospect of a second reconciliation bill. Some see it as the party’s last, best chance to put wins on the board before Election Day, while others believe it is a recipe for failure given the small Republican majorities in the House and Senate and major internal divides over health policy.

But Speaker Mike Johnson is publicly leaning into the possibility as he tries to appease hard-liners who wanted the House GOP to go much farther than it did this month in pushing a conservative health care overhaul.

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