Rep. Brian Fitzpatrick speaks with reporters as he walks to a vote at the US Capitol on Wednesday. Francis Chung/Politico/AP

House Republicans unveiled a narrow health care package on Friday that does not extend soon-to-expire enhanced Affordable Care Act subsidies — the latest sign that Congress is unlikely to avert skyrocketing insurance premiums for millions of Americans in the new year.

The GOP proposal would instead seek to expand the availability of association health plans, which allow employers to band together to purchase coverage, and fund a cost-sharing reduction program meant to lower premiums for certain Affordable Care Act enrollees. It would also impose new transparency requirements on pharmacy benefit managers in a bid to lower drug costs.

GOP leaders opted against e

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