WASHINGTON (AP) — In a significant political development, four centrist Republicans have broken ranks with House Speaker Mike Johnson, signing a Democratic-led petition aimed at forcing a vote to extend enhanced health insurance subsidies for three additional years. This initiative arises as House Republican leaders advance a GOP health care bill that fails to tackle the impending spike in monthly premiums for millions of Americans. Without an extension of these substantial pandemic-era subsidies, many individuals will face unaffordable costs as the tax credits associated with the Affordable Care Act expire at the end of this year. To secure a vote, Democrats required 218 signatures, which they achieved with the support of Republican Representatives Brian Fitzpatrick, Robert Bresnahan, Ryan Mackenzie—each from Pennsylvania—and New York's Mike Lawler.}