Tensions rise within the Republican Party as moderates push for a vote on Obamacare subsidies amidst concerns about upcoming midterm elections. A group of moderate Republicans, led by Representative Brian Fitzpatrick, has filed a discharge petition aimed at extending ACA subsidies to prevent rising healthcare premiums, facing opposition from party hard-liners. Bipartisan support is forming as 16 GOP co-sponsors have joined a new ACA subsidy extension bill, highlighting the urgency as premium costs threaten to spike. Moderates warn that doing nothing is not an option, with the political fallout from potential healthcare cuts being a significant concern for swing district Republicans. As intra-party conflict over health care strategy intensifies, party leaders are being pressured to address the affordability crisis ahead of the elections.