House Republicans have repeatedly defied Speaker Mike Johnson's leadership amid growing frustration over how he's led the fractious majority.

On Wednesday, Fitzpatrick introduced a discharge petition, a fairly rare move, to force a vote on extending ACA subsidies. At least six Republicans have signed the petition, which was co-authored by Fitzpatrick and Representative Jared Golden, a Maine Democrat, to extend expiring credits for two years and to institute new eligibility requirements.

Nearly a dozen Republicans -- many from swing districts -- have signed onto dueling bipartisan discharge petitions to extend and reform the subsidies in the hopes of bypassing leadership and triggering a vote on the House floor.

Female lawmakers in the House GOP conference have had some high-profile splits with leadership in recent weeks. Some are heading for the exits.

On Friday, House Speaker Mike Johnson released the following: House Republicans today released the Lower Health Care Premiums for All Americans Act — legislation that lowers health care premiums, increases health care access,

Because the GOP holds such a slim majority in the House, a handful of dissident votes would cost Johnson the speakership. There have been past attempts. In May 2024, Rep. Marjorie Taylor Greene (R-GA) was booed off the House floor for trying to oust Johnson.

Without the subsidies, policy analysts expect a mass exodus from Obamacare plans altogether that could leave roughly four million Americans completely uninsured. The spike in uninsured Americans will spur a nationwide public health problem that has historically made premiums more expensive for the insured as hospitals look to recoup the lost cash.

House Speaker Mike Johnson could be in trouble. Bigly.