WASHINGTON — The health care industry is plotting a critical lobbying push to preserve the enhanced subsidies that help millions of people buy cheaper health insurance under the Affordable Care Act, ahead of their expiration at the end of this year.

Complicating their efforts, a legislative plan hasn’t yet formed to extend the premium tax credits, industry leaders at the center of the push said. At stake are billions of dollars for insurers and hospitals, already facing other GOP-led cuts .

Hospitals and health systems are gearing up to talk more with their members of Congress about the impacts of the subsidies running out. Insurers have made the issue a top priority for inclusion in a funding package that must pass by the end of September to avoid a government shutdown. And an expansi

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