On January 8, 2026, Bryan Steil, the House member for Wisconsin's 1st District, voted against H.R. 1834, a three-year extension of the enhanced Affordable Care Act tax credits that passed the House over his vote and died in the Senate. Without the credits, what enrollees paid in premiums rose 58% on average in 2026.
Steil also voted for the One Big Beautiful Bill Act, which from 2028 effectively ends automatic renewal of marketplace coverage. In Wisconsin, marketplace enrollment fell 16% from 2025 to 2026, and in Steil's district 28,374 people still buy marketplace coverage.
Bryan Steil's Votes on Health Insurance Premiums
- Steil Voted Against a Three-Year Extension of the Premium Tax Credits in January 2026. On January 8, 2026, Bryan Steil voted no on H.R. 1834, which would have restored the enhanced premium tax credits for three years. It passed 230 to 196, but the Senate never took it up; the bill was only placed on the Senate calendar. Without the credits, KFF found that in 2026 "Premium payments from enrollees increased by an average of 58% from $113 to $178 per month". The Commonwealth Fund found that a 40-year-old with income just over the subsidy cutoff "who paid $445 per month after tax credits were applied in 2025 could owe $719 per month in 2027."
- Steil Voted Against Forcing the House Vote on the Tax Credits, in January 2026. On January 7, 2026, Steil voted against the discharge motion that forced the House vote on extending the enhanced premium tax credits; it passed 221 to 205 over his vote. On January 8, he voted against the rule that brought the extension up, which passed 224 to 202. Seventeen House Republicans then joined Democrats to pass the bill, NPR reported, over the objection of Speaker Mike Johnson; the Senate never took it up, and the credits stayed expired.
- Steil Voted for Marketplace Changes That End Automatic Renewal and Make Enrollees Repay Excess Credits, in July 2025. On July 3, 2025, Steil voted for final passage of H.R. 1, the One Big Beautiful Bill Act, after casting a deciding vote for the House version on May 22. From 2028 the law requires marketplace enrollees to verify their eligibility before they receive tax credits, which KFF says "effectively ends auto-renewals," and from 2026 it requires every enrollee to repay the full amount of any excess credit, no matter their income. The Congressional Budget Office estimates the verification rule will increase the number of uninsured people by 700,000 in 2034 and the repayment rule by 100,000, KFF reports.
What the Expired Tax Credits Bryan Steil Voted Against Extending Cost Wisconsin
- Wisconsin marketplace enrollment fell 16% after the credits expired. Wisconsin's effectuated marketplace enrollment fell 16%, from 291,329 in 2025 to 245,753 in 2026, according to KFF; people who dropped coverage pay full price for care or go without it.
- 5,544 fewer people in Steil's district have marketplace coverage. In Wisconsin's 1st District, marketplace enrollment was 28,374 in 2026, 3.8% of residents, down 5,544 people, or 16.3%, from 2025, according to KFF.
- 110,000 more Wisconsinites will be uninsured in 2034 counting the expired credits. KFF projects 110,000 more uninsured Wisconsinites in 2034 from the law Steil voted for and the expired enhanced credits together, people who will delay care or carry medical debt when they get sick.
Frequently Asked Questions About Bryan Steil on Insurance costs
What is Bryan Steil's record on insurance costs under Trump?
Bryan Steil voted against the discharge motion and the rule that brought up a three-year extension of the enhanced Affordable Care Act tax credits, and then against the extension itself in January 2026. He voted for the One Big Beautiful Bill Act, which ends automatic marketplace renewals from 2028 and makes enrollees repay excess credits in full. Wisconsin's marketplace enrollment fell 16% in 2026.
What will Wisconsin marketplace plans cost in 2027 after Bryan Steil's vote against the tax credits?
Wisconsin insurers have asked for double-digit increases: after Bryan Steil voted against extending the enhanced credits on January 8, 2026, Wisconsin marketplace insurers requested 2027 rate increases ranging from 10.72% (Security Health Plan) to 30.88% (Common Ground Healthcare Cooperative), according to Peterson-KFF data on rate filings.
Did most people want Congress to extend the tax credits Bryan Steil voted against?
Yes. Bryan Steil voted against the House extension on January 8, 2026, and in a KFF poll that month, "Most (67%) of the public say Congress did the 'wrong thing' by not extending the credits," including 72% of independents.
Last updated: 2026-10-26