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    <title>House passes bill to extend health care subsidies in defiance of GOP leaders</title>
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    <description>The House approved a three-year extension of Affordable Care Act subsidies via a discharge petition that bypassed leadership objections; the CBO estimates an $80.6 billion deficit increase over ten years and projected gains in insured persons. Senate action is optional, with negotiators proposing income limits, nominal beneficiary payments, expansion of health savings accounts, and fraud-mitigation measures as conditions for bipartisan support.</description>
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