¶ Overview
- On the Labor Day before his first election, Miller promised that he would always put workers first, but since entering congress he has only voted in favor of working people 14% of the time and he stripped federal workers of their bargaining rights and other protections.
- Miller voted for a bill that would kick 17 million Americans off their health insurance including more than 22,000 of his own constituents. Miller told Ohioans that his vote secured Medicaid for the most vulnerable despite the reality that the bill he voted for would kick 12 million Americans off the program.
- Miller said the Affordable Care Act was a failure and one of the costliest pieces of legislation in our nation’s history regardless of the fact that it provided more than 583,000 Ohioans with access to health insurance.
- Miller ultimately voted to extend enhanced ACA premiums tax credits, but not before he made sure his constituents knew he felt they were unsustainable and irresponsible. However, his vote was too little too late, the credits expired, causing tens of thousands of Ohioans to drop coverage and premiums to spike.
¶ Miller Voted To Rip Health Coverage From More Than 22,000 Ohioans
¶ JULY 2025: MILLER VOTED TO TAKE HEALTH COVERAGE FROM MORE THAN 22,000 OHIOANS IN THE SEVENTH CONGRESSIONAL DISTRICT
¶ July 2025: Miller Voted For The Final Version Of Republicans’ Reconciliation Bill
2025: Miller Voted For The Senate FY 2025 Budget Reconciliation Bill That Extended $4 Trillion In Expiring Tax Cuts, Added New Tax Breaks, Appropriated $448 Billion In Defense, Border, And Immigration Enforcement Funding, Increased The SALT Deduction To $40,000, And Cut Medicaid And Other Social Programs To Offset The Costs. In July 2025, Miller voted for, according to Congressional Quarterly, the “motion to concur in the Senate amendment to the bill that would permanently extend nearly $4 trillion in expiring individual and business tax cuts, create several new tax breaks and fund border and immigration enforcement and air traffic control upgrades. It would cut Medicaid and other safety net programs to partly offset the cost. Among other provisions, it would raise the statutory debt ceiling by $5 trillion and appropriate more than $448 billion in mandatory funding for Trump administration priorities and other needs, including $153 billion for defense, $89 billion for immigration enforcement, and $89.5 billion for border control and security. It also would increase the state and local tax deduction cap to $40,000 annually for five years for households making up to $500,000 a year until 2030, when it would permanently revert to $10,000.” The House passed the bill by a vote of 218 to 214. [House Vote 190, 7/3/25; Congressional Quarterly, 7/3/25; Congressional Actions, H.R. 1]
- HEADLINE: "At Least 17 Million Americans Would Lose Insurance Under Trump Plan" [Washington Post, 7/1/25]
- The Congressional Budget Office Estimated That 11.8 Million People Would Become Uninsured As A Result Of The Medicaid Cuts In Republicans’ Reconciliation Bill. According to the Washington Post, "The bill, which narrowly passed the Senate on Tuesday and now heads back to the House, would effectively accomplish what Republicans have long failed to do: unwind many of the key components of the ACA, President Barack Obama’s signature domestic achievement, which dramatically increased the number of Americans with access to health insurance. To start, the Congressional Budget Office estimated that the Senate version of the bill would result in 11.8 million more uninsured in 2034, mostly because of Medicaid cuts, compared with 10.9 million if the House version became law." [Washington Post, 7/1/25]
¶ May 2025: Miller Voted For House Republicans’ Budget Bill, Which Would Kick Millions Of People Off Medicaid And SNAP To Give Tax Breaks To Billionaires
2025: Miller Voted For The FY 2025 Budget Reconciliation Bill That Included $3.8 Trillion In Tax Cuts Offset By $1.5 Trillion In Spending Reductions To Programs Like Medicaid And The Supplemental Nutrition Assistance Program. In May 2025, Miller voted for, according to Congressional Quarterly, “the bill that would provide for approximately $3.8 trillion in net tax cuts and $321 billion in military, border enforcement and judiciary spending, offset by $1.5 trillion in spending reductions, as instructed in the fiscal 2025 budget resolution (H Con Res 14). It would raise the statutory debt limit by $4 trillion and provide for increased spending on defense and border security, spending cuts on social safety net programs, such as Medicaid and the Supplemental Nutrition Assistance Program. It also includes a mix of tax breaks for businesses and individuals; tax increases on universities and foundations; and a phase-down of clean energy tax credits. […] It would reduce federal spending on the Supplemental Nutrition Assistance Program by requiring states to shoulder more of the cost, expand work requirements for SNAP, extend programs authorized under the 2018 farm bill, and prohibit the U.S. Department of Agriculture from increasing the cost of the Thrifty Food Program. As amended, it would cap state and local tax deductions at $40,000 for households with incomes below $500,000.” The House passed the bill by a vote of 215 to 214. [House Vote 145, 5/22/25; Congressional Quarterly, 5/22/25; Congressional Actions, H.R. 1]
- The House GOP Budget Bill Was Estimated To Increase The Uninsured Population By 8.6 Million By 2034. According to CNN, “The Medicaid and Affordable Care Act provisions in the package could result in 8.6 million more people being uninsured in 2034, according to an early CBO estimate released by Democratic lawmakers. That number is expected to grow with the latest changes.” [CNN, 5/28/25]
- The House GOP Budget Bill Codified A Trump Administration Proposal That Restricted Access To The Affordable Care Act. According to CNN, “The bill also calls for codifying a Trump administration proposal that would make changes to the Affordable Care Act enrollment process, including shortening the open enrollment period and eliminating the ability of low-income Americans to sign up year-round.” [CNN, 5/28/25]
- The House GOP Budget Bill Made The 2017 Income Tax Breaks Permanent And Added An Estimated $3.8 Trillion To The National Debt Over 10 Years. According to CNN, “The package includes several controversial measures that would deeply cut into two of the nation’s key safety net programs – Medicaid and food stamps – while making permanent essentially all of the trillions of dollars of individual income tax breaks contained in the GOP’s 2017 Tax Cuts and Jobs Act. What’s more, it would fulfill Trump’s campaign promises to cut taxes on tips and overtime, albeit temporarily. The magnitude of the measures is evident in the estimates of the cost they would incur or the savings they would produce. […] The tax changes in the package would add $3.8 trillion to the nation’s debt over a decade, according to a Congressional Budget Office analysis released before last-minute changes were made to the bill.” [CNN, 5/28/25]
¶ February 2025: Miller Voted For A Budget Resolution That Spelled Out Future Medicaid Cuts
2/25/25: Miller Voted For The FY 2025 Budget Framework That Included $2 Trillion In Cuts, Raised The Statutory Debt Limit By $4 Trillion, And Required House Committees To Recommend Legislation That Would Implement Trump’s Agenda. In February 2025, Miller voted for, according to Congressional Quarterly, “the concurrent resolution that would recommend a budget for fiscal 2025 and budget levels through fiscal 2034. The resolution would assume minimum savings of $1.5 trillion over 10 years and 2.6 percent economic growth over the same period. It also would require the statutory debt limit to be raised by $4 trillion. It also would authorize the House Ways and Means Committee to increase deficits by $4.5 trillion over 10 years to extend the 2017 tax cuts and implement new tax cuts proposed by the White House. It also would provide instructions for the budget reconciliation process through which separate legislation could be considered and passed in the Senate via a simple majority vote. The measure would deliver instructions to 11 House committees to report legislation that would implement President Donald Trump’s agenda, such as expanding tax cuts and bolstering border security and immigration enforcement. The committees would be required to report their legislative recommendations to the House Budget Committee by March 27, 2025. It also would set a $2 trillion target for the spending cuts to be submitted to the House Budget Committee. The resolution also would stipulate that if the committees don't reach that target, the Ways and Means’ reconciliation instructions to increase the deficit by a maximum of $4.5 trillion would be decreased by the amount the other committees come in below the target. Similarly, it would stipulate that Ways and Means could increase the deficit above the $4.5 trillion level by the amount of savings the committees achieve above the $2 trillion target.” The vote was on passage. The House passed the resolution by a vote of 217 to 215. [House Vote 50, 2/25/25; Congressional Quarterly, 2/25/25; Congressional Actions, H. Con. Res. 14]
- HEADLINE: “What Can House Republicans Cut Instead Of Medicaid? Not Much.” [New York Times, 2/25/25]
- HEADLINE: "House Republican Budget Takes Away Health Care, Food Aid To Pay For Expanded Tax Cuts For Wealthy" [Center on Budget and Policy Priorities, 2/21/25]
- New York Times Reported The $880 Billion In Cuts Required By The Republican Budget Proposal Would Have To Come From Medicaid, Medicare, Or CHIP. According to the New York Times, "The budget resolution itself is silent on whether Congress cuts Medicaid, which provides health coverage to 72 million poor and disabled Americans. But it instructs the House Energy and Commerce Committee, which has jurisdiction over the program, to cut spending by $880 billion over the next decade. If the committee can’t save at least that much, the entire effort could be imperiled because of the special process Congress is using to avoid a Senate filibuster. Ten other committees have their own instructions to follow, though none have been assigned with cutting nearly as much. It’s not so simple as finding the cuts elsewhere. The special process, known as budget reconciliation, means Republicans will have to find all $880 billion from within the Energy and Commerce Committee’s jurisdiction. That leaves them with fewer options than one might think. […] If Republicans want to avoid major cuts to Medicaid, the largest pot of available money is in the other big government health insurance program: Medicare. […] Even if the committee cuts everything that’s not health care to $0, it will still be more than $600 billion short. The committee could also save around $200 billion by eliminating the Children’s Health Insurance Program, but that option has not been raised by the budget committee or anyone in House leadership. […] Even if all of these cuts, revenues and rule cancellations from outside health care can pass muster, the committee will still be left with hundreds of billions of dollars to cut to hit its goal. Mathematically, the budget committee’s instructions mean the committee would need to make major cuts to either Medicare, Medicaid or both." [New York Times, 2/25/25]
¶ MILLER PROUDLY DEFENDED HIS VOTE FOR THE BIG BEAUTIFUL BILL
Miller Said He “Proudly Voted For The One Big Beautiful Bill” And Claimed It “Secures Medicaid For The Most Vulnerable.” According to Rep. Max Miller’s Twitter, “I proudly voted for the One Big Beautiful Bill. A strong, pro-America bill that delivers for American families, workers, farmers, and small businesses. This bill lowers taxes, secures the border, cuts red tape, reduces government spending, projects strength globally, secures Medicaid for the most vulnerable, and restores American energy dominance. I’m saddened that every Democrat voted for the largest tax hike in American history, open borders, higher energy costs, and continued waste, fraud, and abuse of taxpayers’ dollars.” [Twitter, @RepMaxMiller, 7/3/25]
¶ MORE THAN 22,000 OHIOANS IN THE SEVENTH CONGRESSIONAL DISTRICT COULD LOSE HEALTH COVERAGE A RESULT OF MILLER’S VOTES
An Estimated 22,230 People In Miller’s District On The Affordable Care Act And Medicaid Were Set To Lose Coverage Due To Republican Budget Bill Health Care Cuts. According to the Joint Economic Committee,
[Joint Economic Committee, Viewed 4/13/25]
2023: 112,900 Ohioans In The 7th Congressional District Were Enrolled In Medicaid Or CHIP. According to the Center for American Progress,
[Center for American Progress, 3/11/25]
¶ Miller Called The Affordable Care Act A “Failure” And Allowed Critical Health Care Tax Credits To Expire
¶ MILLER CALLED THE AFFORDABLE CARE ACT A FAILURE AND CLAIMED EXTENDING THE ENHANCED PREMIUM TAX CREDITS WOULD BE “UNSUSTAINABLE” AND “IRRESPONSIBLE”
January 2026: Miller Claimed The Affordable Care Act Was “A Failure” And Described It As “One Of The Costliest Pieces Of Legislation In Our Nation’s History.” According to Rep. Max Miller’s Facebook, “Two things can be true at once. Obamacare has failed, but pulling the rug out from under Ohio families without an alternative would be irresponsible. That’s why I supported a short-term extension of ACA credits as a bridge, not a destination, while Congress works toward affordable, sustainable healthcare solutions. Obamacare is a failure; the Affordable Care Act is anything but affordable and is one of the costliest pieces of legislation in our nation’s history. A permanent extension of the ACA premium tax credits would be fiscally unsustainable and ultimately irresponsible. At the same time, it would be irresponsible to pull the rug out from under my constituents before we have a final product. Meaningful healthcare reform is complex, and while I share the frustration that Congress waits until the eleventh hour, real and serious progress has been made. A short-term extension of the ACA is needed to ensure stability and continued access to healthcare for families who rely on it. This extension is not an end goal, but a bridge. I am encouraged by the sheer number of healthcare-related bills and policy proposals that have been introduced and the bipartisan collaboration that has gone into these reform discussions. I remain hopeful that the current momentum leads to sustainable, affordable healthcare solutions that work for patients, providers, and taxpayers alike.” [Facebook, Congressman Max Miller, 1/8/26]
- 2025: Miller Claimed That Since The Affordable Care Act, “Health Care Costs Have Risen Dramatically.” According to Cleveland.com, "In a speech on the House of Representatives floor, Bay Village Republican Max Miller said that since the enactment of the ‘so-called Affordable Care Act,’ health care costs have risen dramatically. He called the GOP bill ‘a critical step forward in curbing rising premiums, expanding choice and improving transparency. ‘The legislation includes provisions to improve affordability, particularly for small businesses, along with cost sharing reduction funding and PBM reforms,’ said Miller, adding that he remains ‘committed to reforming a broken health care system and increasing choice and competition to lower health care costs for our nation." [Cleveland.com, 12/17/25]
January 2026: Miller Claimed A Permanent Extension Of Affordable Care Act Premium Tax Credits “Would Be Fiscally Unsustainable And Ultimately Irresponsible.” According to Rep. Max Miller’s Facebook, “Two things can be true at once. Obamacare has failed, but pulling the rug out from under Ohio families without an alternative would be irresponsible. That’s why I supported a short-term extension of ACA credits as a bridge, not a destination, while Congress works toward affordable, sustainable healthcare solutions. Obamacare is a failure; the Affordable Care Act is anything but affordable and is one of the costliest pieces of legislation in our nation’s history. A permanent extension of the ACA premium tax credits would be fiscally unsustainable and ultimately irresponsible. At the same time, it would be irresponsible to pull the rug out from under my constituents before we have a final product. Meaningful healthcare reform is complex, and while I share the frustration that Congress waits until the eleventh hour, real and serious progress has been made. A short-term extension of the ACA is needed to ensure stability and continued access to healthcare for families who rely on it. This extension is not an end goal, but a bridge. I am encouraged by the sheer number of healthcare-related bills and policy proposals that have been introduced and the bipartisan collaboration that has gone into these reform discussions. I remain hopeful that the current momentum leads to sustainable, affordable healthcare solutions that work for patients, providers, and taxpayers alike.” [Facebook, Congressman Max Miller, 1/8/26]
- Miller Called A Permanent ACA Tax Credit Extension “Incredibly Unreasonable.” According to an interview Rep. Max Miller gave with Breitbart News, “MILLER: What this has to do is that Chuck Schumer knew that Republicans were going to do the responsible thing in considering to put a vote on the Affordable Care Act for an extension of 12 months while finding an amicable solution that would lower the cost of premiums and do better and actually make the Affordable Care Act affordable for the American people and actually continue to have it go on for 36 months after the fact in terms of a COBRA-like setting. Democrats are asking for an indefinite extension, which is incredibly unreasonable. I think it's incredible that Republicans have come to the table already and have offered Democrats a vote on the ACA when no Republican in history has ever voted to support it. I believe that that is a negotiation and that's us meeting in the middle. And they have just realized that they want their way or the highway, and they're not going to get it.” [Breitbart News, 11/9/25] (video)
¶ JANUARY 2026: MILLER’S VOTE TO EXTEND ENHANCED ACA PREMIUM TAX CREDITS CAME TOO LATE AND PREMIUMS SPIKED FOR OHIOANS
1/8/26: Miller Voted For Extending The Affordable Care Act Tax Credits For Three Years. In January 2026, Miller voted for, according to Congressional Quarterly, “the bill, as amended, that would extend for three years, through the end of calendar year 2028, the enhanced tax credits to subsidize premiums for health insurance purchased on the Affordable Health Care Act health insurance markets. It would allow taxpayers whose household income exceeds 400 percent of the federal poverty line to receive tax credits for three more years. The measure would retroactively take effect Jan. 1, 2026.” The vote was on passage. The House passed the bill by a vote of 230 to 196. [House Vote 11, 1/8/26; Congressional Quarterly, 1/8/26; Congressional Actions. H.R. 1834]
- 17 Republicans Voted For Passage Of The “Clean” Extension, Following A Procedural Vote The Day Before That Had Support From Nine Republicans. According to Politico, “Seventeen Republicans joined Democrats in passing legislation Thursday that would revive enhanced Affordable Care Act subsidies for three years, rebuffing opposition from GOP leadership. The 230-196 vote follows a procedural vote Wednesday to advance the bill, where nine Republicans joined Democrats in favor of moving forward.” [Politico, 1/8/26]
- Speaker Johnson Called The Bill “Really Bad Policy” And Said He Wished That Not Everyone Had A Vote. According to Politico, “Johnson’s office, in a last-ditch effort Thursday morning to undermine the effort, blasted out a memo accusing ‘Democrats [of] want[ing] to expand a COVID subsidy system already flagged for massive fraud and abuse, with absolutely zero reforms.’ After the vote Thursday evening, Johnson said in an interview of the Republicans who defected, ‘I think it’s a really bad policy, and I wish they hadn’t, but everybody had a vote.’” [Politico, 1/8/26]
¶ As A Result Of Enhanced ACA Premium Tax Credits Expiring, More Than 113,000 Ohioans Dropped ACA Coverage And Premiums Spiked
2025: Over 500,000 Ohioans Enrolled In ACA Marketplace Plans. According to the Kaiser Family Foundation, in 2025, 583,443 people in Ohio enrolled in an Affordable Care Act marketplace health insurance plan. [Kaiser Family Foundation, Viewed, 4/30/26]
- In 2026, The Number Of Ohioans Enrolled In ACA Marketplace Plans Fell By 113,827. According to the Kaiser Family Foundation, in 2026, 469,616 people in Ohio enrolled in an Affordable Care Act marketplace health insurance plan. [Kaiser Family Foundation, Viewed, 4/30/26]
- HEADLINE: "Ohio Sees Sharp Decline In ACA Enrollment After Subsidies Expire" [Columbus Dispatch, 1/21/26]
HEADLINE: "Affordable Care Act Subsidies Expire: Over 500,000 Ohioans Face Higher Health Insurance Costs" [Cleveland.com, 1/1/26]
A 60-Year-Old Who Made About $62,800 Per Year And Was Enrolled In An ACA Silver Plan Was Projected To See Their Monthly Premium Cost Increase By An Average For $645 Per Month In Ohio. According to WLWT, "More so than any other demographic group though, it is older adults who make above 400% of the poverty line who are likely to be subject to the most brutal rate increases in the new year. For 60-year-olds who make about $62,800 per year and are enrolled in ACA Silver Plans, this additional monthly premium cost is likely to increase by an average of $645 per month in Ohio, $561 per month in Indiana, and $809 per month in Kentucky, according to KFF. This will mean new average monthly premiums of about $1,090 for Ohio residents, $1,006 for Indiana residents, and $1,254 for Kentucky residents in 2026." [WLWT, 12/31/25]
A 40-Year-Old Who Made About $62,800 Per Year Who Was Enrolled In An ACA Silver Plan Was Projected To See A $69 Per Month Increase In Their Premiums In Ohio. According to WLWT, "According to KFF, a 40-year-old who makes about $62,800 per year and is enrolled in a typical Affordable Care Act Silver Plan can expect to see a $69 monthly increase in their premiums across Ohio in 2026. In Indiana, this is expected to be notably lower, at $29, while in Kentucky, this is expected to be significantly higher, at $146. This equates to a new monthly premium for 2026 of about $513 per month in Ohio, $474 per month in Indiana, and $590 per month in Kentucky." [WLWT, 12/31/25]
¶ Miller’s Delay Created A Dramatic “Subsidy Cliff”
The Expiration Of Enhanced ACA Premium Tax Credits Created A “Subsidy Cliff” Whereby If Households Earned Even $1 More Than A Specific Income Threshold They Could Lose All Eligibility For Assistance. According to CNBC, "For the first time in years, many Americans enrolled in a health insurance plan via the Affordable Care Act marketplace will need to keep a careful accounting of their annual income — or risk a hefty federal tax bill. Enhanced ACA subsidies lapsed at the end of 2025, leaving millions of households on the hook for higher insurance premiums. The lapse also reintroduced the so-called subsidy cliff, whereby households that earn even $1 more than a specific income threshold will lose all eligibility for subsidies, also known as premium tax credits. That income cutoff, which varies by family size, is $62,600 for a single person, $84,600 for a two-person household and $128,600 for a family of four in 2026, for example." [CNBC, 1/6/26]
- More Than Two Million Americans Had Incomes Near A “Subsidy Cliff.” According to CNBC, "More than 2 million people enrolled in an ACA marketplace plan have an income near the subsidy cliff. ACA enrollees also tend to have relatively volatile incomes, making it hard to predict their annual earnings, experts said." [CNBC, 1/6/26]
Households That Went Over The Income Limit Would Have To Pay Back Any Federal Assistance They Received For Premiums, Which Could Cost Thousands Of Dollars, When They Filed Their Taxes. According to CNBC, "Households over the limit would have to pay back any federal subsidies they received for premiums — potentially worth thousands of dollars — when they file taxes next year for 2026." [CNBC, 1/6/26]
Republicans’ Big Beautiful Bill Exacerbated The Problem By Stripping Away Guardrails Capping The Amount Of Excess Subsidies Households Are Required To Repay. According to CNBC, "The potential financial impact is exacerbated by a multitrillion-dollar legislative package known as the ‘big beautiful bill’ that Republicans passed over the summer, which stripped away guardrails capping the amount of excess subsidies households must repay, experts said." [CNBC, 1/6/26]
¶ 22 Million Americans Relied On ACA Premium Tax Credits To Afford Health Insurance
Approximately 22 Million Americans Relied On ACA Premium Tax Credits To Afford Health Insurance. According to CNBC, "About 22 million Americans received premium subsidies, also known as premium tax credits, in 2025. Households can opt to receive the tax credit in one of two ways: As a lump sum during tax season or as an advanced payment. Under the latter option, by far the most popular, the federal government issues the tax credit directly to a consumer’s insurer, which then lowers the consumer’s out-of-pocket premium. Consumers receive those advanced ACA subsidies based on an estimated annual income they provide when signing up for insurance. They must reconcile those subsidies during tax season and repay any excess tax credits to the IRS." [CNBC, 1/6/26]
¶ DECEMBER 2025: MILLER VOTED FOR A BILL THAT WOULD WEAKEN PROTECTIONS FOR PEOPLE WITH PRE-EXISTING CONDITIONS AND FAILED TO ADDRESS PREMIUM SPIKES
¶ December 2025: Miller Voted For The Lower Health Care Premiums For All Americans Act
2025: Miller Voted For The Lower Health Care Premiums For All Americans Act That Allowed The ACA Tax Credits To Expire. In December 2025, Miller voted for, according to Congressional Quarterly, “the bill that would expand the ability of small businesses to establish association health plans and bars states from preventing small businesses from obtaining stop-loss insurance for self-funded health insurance plans. It would codify and expand rules governing employer-funded health reimbursement arrangements and would allow employees in such arrangements to pay Affordable Care Act health insurance premiums through salary reductions. It would provide funding for ACA policy cost sharing reduction payments that reduce deductibles and copayments. It would prohibit plans from providing abortion-related care. It also would require pharmacy benefit managers to provide transparency regarding prescription drug costs and the drug rebates they receive.” The vote was on passage. The House passed the bill by a vote of 216 to 211. [House Vote 349, 12/17/25; Congressional Quarterly, 12/17/25; Congressional Actions, H.R. 6703]
¶ The Lower Health Care Premiums For All Americans Act Did Nothing To Address The Expiration Of ACA Enhanced Premium Tax Credits And Would Weaken Protections For People With Pre-Existing Conditions
The December 2025 Republican Health Care Bill Failed To Prevent Imminent Premium Spikes For More Than 20 Million People Who Relied On ACA Marketplace Plans. According to the Center on Budget and Policy Priorities, "The health bill House Republicans are preparing to bring to the floor this week not only fails to prevent imminent premium spikes for more than 20 million people in marketplace plans, but would raise costs even higher for many marketplace enrollees and weaken pre-existing condition protections for individuals and small businesses." [Center on Budget and Policy Priorities, 12/16/25]
- HEADLINE: "House Republicans Pass Health Care Plan Without Re-Upping Insurance Subsidies" [Politico, 12/17/25]
- HEADLINE: "House Passes GOP Health Bill Without Subsidies" [Axios, 12/17/25]
- HEADLINE: "House Passes GOP Health Care Bill Without Obamacare Subsidy Extension" [The Hill, 12/17/25]
- HEADLINE: "House Passes GOP Health Care Bill Without ACA Extension" [CBS News, 12/17/25]
Without Extending The ACA Enhanced Premium Tax Credits, Premium For Ohioans Would Increase By 114%. According to A Press Release from Policy Matters Ohio, “October 1, 2025 — Where indicated, this release had been updated to reflect new KFF analysis based on more recent data, showing that without Congressional action, annual Healthcare Marketplace premiums will more than double next year, from an average of $888 in 2025 to $1,904 in 2026 — an increase of 114%.” [Press Release - Policy Matters Ohio, 9/30/25]
The December 2025 Republican Health Care Bill Would Expand Association Health Plans, Which Would Result In Higher Underlying Premiums For Individuals And Small Businesses That Remained In ACA-Regulated Markets. According to the Center on Budget and Policy Priorities, "It would expand association health plans (AHPs), a type of health plan that trade associations, professional groups, and other organizations may offer their members, to cover self-employed individuals and small businesses as if they were large employers. By allowing more people to enroll in coverage not subject to ACA standards and consumer protections, this would segment insurance risk pools: individuals who are younger and healthier, or small businesses with younger or healthier employees, could get plans with lower premiums because they would be priced separately from ACA-compliant coverage and wouldn’t have to meet ACA standards such as having to cover a set of essential health benefits. As a result, individuals and small businesses remaining in ACA-regulated markets would see higher underlying premiums." [Center on Budget and Policy Priorities, 12/16/25]
The December 2025 Republican Health Care Bill Would Likely Lead To Higher Premiums For Older And Sicker Small Groups And Self-Employed People, Thereby Undermining Protections For People With Pre-Existing Conditions. According to the Center on Budget and Policy Priorities, "In addition, the bill would undermine protections for people with pre-existing conditions. While it would bar AHPs from rejecting individuals or charging them more based on certain health factors, it would give them greater ability to base a small group’s or self-employed person’s costs on their health risk compared to individual or small-group coverage. This would likely lead to higher premiums for older and sicker small groups and self-employed individuals, making such arrangements more attractive to healthier individuals and groups." [Center on Budget and Policy Priorities, 12/16/25]
¶ Miller Defended His Vote For The Lower Health Care Premiums For All Americans Act And Said It Would Approve Affordability And Lower Healthcare Costs
Miller Said The Lower Health Care Premiums For All Americans Act “Includes Provisions To Improve Affordability.” According to Cleveland.com, "The ‘Lower Health Care Premiums for All Americans Act’ approved on Wednesday represents the House Republican alternative to simply extending the expiring ACA subsidies, as Democrats have proposed. The legislation would fund cost-sharing reduction payments starting in 2027, expand association health plans, increase pharmacy benefit manager (PBM) transparency, and codify rules for health reimbursement arrangements. […] In a speech on the House of Representatives floor, Bay Village Republican Max Miller said that since the enactment of the ‘so-called Affordable Care Act,’ health care costs have risen dramatically. He called the GOP bill ‘a critical step forward in curbing rising premiums, expanding choice and improving transparency. ‘The legislation includes provisions to improve affordability, particularly for small businesses, along with cost sharing reduction funding and PBM reforms,’ said Miller, adding that he remains ‘committed to reforming a broken health care system and increasing choice and competition to lower health care costs for our nation." [Cleveland.com, 12/17/25]
- Miller Promised He Was “Committed” To Lowering “Healthcare Costs For Our Nation.” According to Cleveland.com, "In a speech on the House of Representatives floor, Bay Village Republican Max Miller said that since the enactment of the ‘so-called Affordable Care Act,’ health care costs have risen dramatically. He called the GOP bill ‘a critical step forward in curbing rising premiums, expanding choice and improving transparency. ‘The legislation includes provisions to improve affordability, particularly for small businesses, along with cost sharing reduction funding and PBM reforms,’ said Miller, adding that he remains ‘committed to reforming a broken health care system and increasing choice and competition to lower health care costs for our nation." [Cleveland.com, 12/17/25]
¶ Miller Claimed To Support Workers But Had A Pattern Of Voting Against Them
¶ 2022: WHILE RUNNING FOR CONGRESS, MILLER PROMISED TO “ALWAYS PUT WORKERS FIRST”
September 2022: When Miller Was Initially Running For Congress, He Promised He Would “Always Put Workers First.” According to Miller’s Twitter, “Happy Labor Day to the men and women who have built our country and, through hard work continue to make America the beacon of hope for the rest of the world. I’m proud to have earned the endorsements of some of the largest labor unions in Ohio. I'll always put workers first! 🇺🇸”
[Twitter, @MaxMillerOH, 9/5/22]
¶ 2025: MILLER HAD A PATTERN OF VOTING AGAINST WORKERS
December 2025: Miller Voted Against The Protect America’s Workforce Act That Would Have Restored Bargaining Rights That Trump Took Away From Federal Workers. According to the AFL-CIO, “Since Trump’s first executive order in March ripped away collective bargaining rights from nearly 1 million workers, it’s only gotten worse. His administration expanded the attack to include more federal agencies. The administration also has begun implementing the executive orders by canceling the contracts of nearly 450,000 federal workers at the departments of Agriculture, Health and Human Services, Homeland Security and Veterans Affairs and the Environmental Protection Agency. […] So now it’s the Senate’s turn. We need every senator—Republican, Democrat and independent—who says they support America’s unions to vote for the Protect America’s Workforce Act and restore federal workers’ union rights. So let’s get this done. It’s time to restore federal workers’ collective bargaining rights, and protect ALL union members’ rights in this country. Urge your senators to co-sponsor the Protect America’s Workforce Act.” Miller voted against the bill that passed the house by a vote of 231 to 195. [House Vote 332, 12/11/25; AFL-CIO]
April 2025: Miller Voted For The No Rogue Ruling Acts That Restricted Restitution And Legal Access For Federal Workers Who Were Unlawfully Fired. According to the AFL-CIO, "On behalf of the 63 affiliated unions of the AFL-CIO, I write to express our strong opposition to H.R. 1526, the No Rogue Ruling Act (‘NORRA’). This bill would hamper the ability of everyday people to win justice in the face of unlawful and far-reaching actions by the executive branch. It is not simply a power grab against the judiciary. It is a power grab against working people. In February, for example, the Trump Administration unlawfully fired tens of thousands of probationary employees at wide-ranging agencies, working a wide variety of jobs across the country. They were hardworking taxpayers, men and women of all ages and races. They were of all political persuasions, education levels, and family backgrounds. They were disproportionately veterans. What they had in common was they had chosen a career in civil service and were illegally fired in the same, unlawful fashion. Many were union members, but not all. Some had access to legal representation, while others could not afford it. Fortunately for the latter, some of these fired workers and their unions pursued action in federal court. The judge in that case ruled the firings illegal and provided nationwide injunctive relief, ordering immediate reinstatement. The injunctive relief stemmed the damage for all affected workers and their families, whether or not they were able to hire a lawyer willing to have his or her law firm blacklisted by the Trump Administration and whether or not they had a union willing to risk having their bargaining rights stripped by the Trump Administration for ‘fighting back.’Under H.R. 1526, however, many thousands of these unlawfully fired workers would not receive relief. This bill would require that multiple cases be brought, in multiple district courts, and not every worker has the means to do that. Many thousands of these workers and their families would simply have to swallow the injustice, their rights violated without relief or meaningful access to any remedy. If multiple groups of these workers managed to get their suits filed, the result would be multiple, potentially inconsistent rulings, sowing even further confusion beyond what the Administration has already generated." Miller voted for the bill that passed the house by a vote of 219 to 213. [House Vote 98, 4/9/25; AFL-CIO, 4/9/25]
February 2025: Miller Voted For The Midnight Rules Relief Act That Would “Nullify Important Rules Established By Job Safety Agencies Such As OSHA And The MSHA That Regulate Dangerous Working Conditions And Provide Very Basic Protections.” According to the AFL-CIO, "On behalf of nearly 15 million workers and 63 affiliate unions represented by the AFL-CIO, I write to express our strong opposition to H.R. 77, the Midnight Rules Relief Act. This bill would amend the Congressional Review Act (CRA) to allow Congress to combine into one joint resolution of disapproval all rules finalized by federal agencies near the end of a presidential term. The CRA currently provides an expedited process for a new Congress and President to overturn a rule without providing evidence of the need for this action and no public input. The proposed legislation is based on a fatally flawed premise—namely, that regulations proposed or finalized at the end of a presidential administration are rushed and inadequately vetted. In fact, the very opposite is true. Significant regulations go through a lengthy, extensive process of development, analysis, review, and public input. They take years or even decades to promulgate. Silica standards issued by the Occupational Safety and Health Administration (OSHA) and the Mine Safety and Health Administration (MSHA) were more than 40 years in the making, and delays in these and other rules cost thousands of workers their lives and led to irreversible, debilitating lung disease that literally takes the breath away from workers. The use of the CRA has become politicized and undermines the rulemaking process. H.R. 77 would supercharge the already expedited procedures under the CRA, allowing rules issued towards the end of an administration to be wiped off the books in one fell swoop, with almost no time for consideration or reasonable debate of individual rules. This action would be overreaching and wastes government resources on rules that had already been thoroughly analyzed by experts in their respective fields. Agency rules are already subject to and can only be finalized after an extensive public comment period, expert analysis has been considered, and accountability safeguards are put in place. The development and issuance of these important regulations help ensure safe workplaces, health standards, and other protections. H.R. 77 would nullify important rules established by job safety agencies such as OSHA and the MSHA that regulate dangerous working conditions and provide very basic protections—such as making sure personal protective equipment (PPE) fits construction workers—without adequate scientific examination. Ill-fitting PPE contributes to significant workplace injuries and fatalities: In 2023, the construction industry had the highest number of fatalities among all industries. This bill would also permit the broad sweeping repeal of commonsense protections under the Toxic Substances Control Act that our workers and the public depend on, upending protective rules that address deadly chemicals such as asbestos, methylene chloride, and PFAS. Singlehandedly, H.R. 77 would allow a single resolution to repeal numerous rules at once without evidence, eliminating imperative safeguards that protect both workers and the public from exposure to toxic chemicals and other workplace hazards." Miller voted for this bill that passed the house by a vote of 212 to 208. [House Vote 41, 2/12/25; AFL-CIO, 2/12/25]
¶ MILLER ONLY VOTED WITH WORKERS 14% OF THE TIME
Miller’s Lifetime Legislative Scorecard With The AFL-CIO Showed He Only Voted With Working People 14% Of The Time.
[AFL-CIO, Max Miller Legislative Scorecard, Viewed 4/15/26]