By Ahmed Aboulenein and Richard Cowan

WASHINGTON, Dec 12 (Reuters) – Republican leaders in the U.S. House of Representatives on Friday presented a healthcare proposal that leaves unresolved steep health insurance premium ‍increases set to impact millions of Americans as early as January.

The bill does not extend the Affordable Care Act, also known as Obamacare, enhanced subsidies enacted during the COVID-19 pandemic, which are scheduled to expire on December 31 unless Congress acts, leaving some 24 million Americans vulnerable to significantly ‌higher insurance premiums beginning on January 1.

The bill ‌includes cost-sharing reductions, a measure aimed at lowering premiums for some individuals while reducing overall subsidies and raising premiums for others, which would kick in starting

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