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Today — 14 November 2025Main stream

As health costs spike, a sour and divided Congress escapes one shutdown to face another

Senate Minority Leader Chuck Schumer, D-N.Y., left, accompanied by Sen. Cory Booker, D-N.J., points to a poster depicting rising medical costs if Congress allows the Affordable Care Act tax credits to expire in December as he speaks to reporters following a Democratic policy luncheon at the U.S. Capitol on Oct. 15, 2025 in Washington, D.C. (Photo by Andrew Harnik/Getty Images)

Senate Minority Leader Chuck Schumer, D-N.Y., left, accompanied by Sen. Cory Booker, D-N.J., points to a poster depicting rising medical costs if Congress allows the Affordable Care Act tax credits to expire in December as he speaks to reporters following a Democratic policy luncheon at the U.S. Capitol on Oct. 15, 2025 in Washington, D.C. (Photo by Andrew Harnik/Getty Images)

WASHINGTON — Congress has roughly two months to find bipartisan agreement to curb rising health insurance costs if lawmakers want to avoid another government shutdown.

That herculean task would be difficult in the best circumstances, but is much more challenging after lawmakers spent the last 43 days criticizing each other instead of building the types of trust that are usually needed for large deals. Democrats maintained they wanted to address skyrocketing premiums for individual health care plans, while Republicans insisted those talks had to occur when the government was open.

At the same time, congressional leaders will try to wrap up work on the nine full-year government funding bills that were supposed to become law before Oct. 1 and weren’t included in the package that reopened the government. 

Congress must pass all of those bills or another stopgap measure before the new Jan. 30 deadline, regardless of how well or disastrous talks on a health care bill turn out. 

The two-track negotiations will push party leaders to compromise on issues they’d rather not, especially as next year’s November midterm elections inch closer. 

Early signs were not good.

House Speaker Mike Johnson said during a Wednesday night press conference the enhanced Affordable Care Act tax credits set to expire at the end of the year are a “boondoggle” and that “Republicans would demand a lot of reforms” before agreeing to extend those in any way. 

“We currently have 433 members of the House of Representatives. There’s a lot of opinions in this building. And on our side, certainly, a lot of opinions on how to fix health care and make it more affordable. I have to allow that process to play out,” Johnson, R-La., said. 

While Senate Majority Leader John Thune, R-S.D., made a commitment to hold a vote on a health care bill before the end of December to conclude the shutdown, Johnson has avoided giving a timeline for when he would bring any similar legislation to the floor. 

President Donald Trump, aside from throwing insults at Democrats, largely stayed on the sidelines of the shutdown fight, though he suggested the funds used for the tax credits should in some way go directly to individuals instead of large insurance companies.

Pessimism over progress

The shutdown highlighted the stark differences Republicans and Democrats hold on health care as prices for insurance continue to spike, forcing millions of Americans to choose between taking care of themselves and breaking their budgets, States Newsroom found in interviews with members of Congress. 

GOP leaders held together throughout the funding lapse and didn’t negotiate on the expiring ACA marketplace tax credits, or anything else. 

Now that it’s over, Republicans will need to put something forward.

Connecticut Rep. Rosa DeLauro, the top Democrat on the House Appropriations Committee, said her sense is that Congress will “probably be in the same place on January 30th that we are now.”

“We have two parties here, two sides,” DeLauro said. “In the past … we’ve had serious negotiation back and forth, and that’s what we need to do, and that’s not happening.”

While Republicans have unified control of government, major legislation needs the support of at least 60 senators to advance in that chamber. Republicans hold 53 seats at the moment, meaning at least some Democrats must support a bill for it to pass. 

DeLauro did not rule out another shutdown, saying Democrats plan to take the next few months “one day at a time,” while closely watching what Republicans are willing to do on the nine full-year appropriations bills and health care costs. 

Maryland Democratic Rep. Steny Hoyer, former House majority leader and a senior member of the Appropriations Committee, said Republican leaders keeping that chamber in recess for nearly two months leading up to and during the shutdown significantly delayed work on the full-year government funding bills. 

Hoyer said that scheduling decision was a clear “indication they’re not interested in solving the problem.”

“If they were, they would have had members here working on appropriation bills,” Hoyer said. “And the only way you’re going to ultimately solve this problem is to pass appropriation bills.”

Hoyer said the real question facing Congress now isn’t whether there is time to work out agreement on the remaining nine government spending bills, but whether there’s a will to make the types of compromises needed. 

Untangling spending bills

The spending package that reopened the government included three of the dozen full-year bills, funding the Agriculture Department, Food and Drug Administration, Legislative Branch, military construction projects and Department of Veterans Affairs.

The remaining appropriations bills will be considerably tougher to resolve, especially because the House and Senate have yet to agree on how much they want to spend across the thousands of programs. Trump proposed major cutbacks in multiple programs in his budget request earlier this year that Democrats have strongly resisted.

The Defense, Homeland Security, Labor-HHS-Education and State-Foreign Operations bills will be some of the more difficult to settle. 

Congress could always lean on another stopgap spending bill to keep funding relatively flat for the departments and agencies not covered by a full-year bill before Jan. 30. But lawmakers will need bipartisan support to advance in the Senate.

Washington Democratic Rep. Pramila Jayapal, former chair of the Congressional Progressive Caucus, said Republicans don’t seem to grasp how much Americans are struggling with the cost of living, including for health insurance and health care. 

“My constituents are already telling me that they’re making that choice between having health insurance or having a house to live in, and they’re going to choose the house,” Jayapal said. 

Whether or not a partial government shutdown begins in early 2026 will likely depend on whether Republican lawmakers from swing districts force bipartisanship on a health care bill. 

“I really don’t know,” Jayapal said. “I think it depends on these vulnerable House Republicans, who are not going to be able to go back to their constituents without telling them that they’ve done something on health care.”

Political juice and a backbone

Democratic Rep. Melanie Stansbury of New Mexico said she wouldn’t be surprised if Congress is unable to strike a deal on government funding and winds up in a partial shutdown by February. 

“Do I think that the Republicans have the political juice to get … the rest of their appropriation bills across the finish line and a health care deal? No,” Stansbury said. 

She added that she hopes a handful of Republicans decide to join Democrats on the discharge petition bill that would force a floor vote on a bill to extend the ACA marketplace subsidies for three years. 

“We gotta find a few brave Republicans who still have a backbone and some guts to stand up to this administration and actually care for their constituents,” Stansbury said. 

But any bipartisan deal to extend those health care tax credits seems fraught, as House Minority Leader Hakeem Jeffries slammed Republicans as having “zero credibility on this issue.”

He pointed to Republicans trying several times to repeal the Affordable Care Act, including their last attempt in 2017, when GOP Sens. Lisa Murkowski of Alaska, Susan Collins of Maine and the late John McCain of Arizona crossed party lines to vote against repealing the 2010 law.

“There’s no evidence that they’re serious about extending the Affordable Care Act tax credits,” Jeffries, of New York, said. “Republicans have zero interest in fixing the health care crisis that they’ve created.”

‘No point in taking 41 days to cave’

When Democrats controlled both chambers, temporary health care subsidies were originally passed as part of the COVID-19-era American Rescue Plan in 2021 for two years. 

With Democrats still controlling both chambers, lawmakers approved the Inflation Reduction Act, the 2022 signature climate policy bill from the Biden administration, that extended those health care subsidies for three years, expiring at the end of December 2025.

The outcome of the just concluded shutdown is shaping some House Democrats’ views.

Virginia Democratic Rep. Bobby Scott said if there is a new shutdown come February, Senate Democrats will have to decide whether they’re going to “cave again, or at least engage in negotiations.” 

“When the (Senate) Democrats say: ‘Our strategy wasn’t working,’ it wasn’t working because they assume you’re going to cave, which you just proved,” Scott told States Newsroom. “Their strategy worked — trying to get them to negotiate and talk to you doesn’t because they know you’re going to cave.”

Scott said “there’s no point in taking 41 days to cave,” pointing to the eight members of the Senate Democratic Caucus who broke ranks to advance and later approve the package to reopen the government. 

“Why don’t you just cave right at the beginning, on February 2nd?” he said. “If the Republican strategy is: ‘We’re not going to negotiate at all because you’re going to cave,’ you have to show them that you’re not going to cave, then you can have a discussion.”

Scott said the same health care issues will still exist if nothing happens between now and the package’s Jan. 30 government funding deadline.  

“By then, we’ll know that several million people don’t have health insurance, we’ll know that rural hospitals are beginning to suffer,” Scott said. 

Delaware Democratic Rep. Sarah McBride said that “from today through November (2026) and after, we will continue to be talking about health care, to be fighting for health care.”

“I think what you’ve seen over the last several months, you will continue to see from us through November and then, God willing, once we’re in a majority, we’ll do all that we can to reverse these cuts and restore care and expand access to it,” she said. 

Yesterday — 13 November 2025Main stream

Government reopens after 43 days: Trump signs bill ending record shutdown

Furloughed federal workers stand in line for hours ahead of a special food distribution by the Capital Area Food Bank and No Limits Outreach Ministries on Barlowe Road in Hyattsville, Maryland, on Tuesday, Oct. 28, 2025. (Photo by Ashley Murray/States Newsroom)

Furloughed federal workers stand in line for hours ahead of a special food distribution by the Capital Area Food Bank and No Limits Outreach Ministries on Barlowe Road in Hyattsville, Maryland, on Tuesday, Oct. 28, 2025. (Photo by Ashley Murray/States Newsroom)

This report has been updated.

WASHINGTON — The longest shutdown in U.S. history ended Wednesday night when President Donald Trump signed a spending package that  reopens the government and funds most of it through January.

The Oval Office ceremony came just hours after the House voted to approve the legislation, which senators passed earlier in the week. 

“I hope we can all agree that the government should never be shut down again,” Trump said, before urging Senate Republicans to eliminate the rule that requires bills to garner the support of at least 60 lawmakers to advance. “Terminate the filibuster.”

The 222-209 vote marked the first time that chamber took up a bill since mid-September, when Republican leaders recessed after members approved a stopgap spending measure they knew couldn’t advance in the Senate. 

That stalemate, centered around sharply rising health care costs, led to a 43-day shutdown that affected nearly every corner of the country through delayed funding for nutrition programs for millions of Americans, no pay for federal workers, flight delays tied to staffing shortages and much more. 

But after nearly six weeks of failed procedural votes, seven centrist Senate Democrats and one independent broke with party leaders on Sunday to advance the reworked spending package and then voted to approve the legislation Monday. 

Senate Majority Leader John Thune, R-S.D., who said throughout the shutdown he was interested in a bipartisan path forward on health insurance costs after the shutdown ended, committed to hold a floor vote on a Democratic bill “no later than the second week in December.”

House Speaker Mike Johnson, R-La., said repeatedly throughout the funding lapse GOP lawmakers have ideas to improve the health care system. However, he didn’t detail any of those publicly and hasn’t committed to a floor vote. 

House Speaker Mike Johnson, R-La., talks with reporters inside Statuary Hall in the U.S. Capitol building on Wednesday, Nov. 12, 2025. (Photo by Jennifer Shutt/States Newsroom)
House Speaker Mike Johnson, R-La., talks with reporters inside Statuary Hall in the U.S. Capitol building on Wednesday, Nov. 12, 2025. (Photo by Jennifer Shutt/States Newsroom)

“We have volumes of ideas on how to do this, on how to fix it, on how to drive costs down and how to increase access to care and quality of care, and you’re going to see all that vigorous debate,” Johnson said during a brief press conference after the vote.

House debate on the spending package that will reopen government was largely along party lines, though Republican Reps. Thomas Massie of Kentucky and Greg Steube of Florida voted against the bill.

Democratic Reps. Henry Cuellar of Texas, Don Davis of North Carolina, Jared Golden of Maine, Adam Gray of California, Marie Gluesenkamp Perez of Washington state and Tom Suozzi of New York voted for passage. 

Appropriations Committee Chairman Tom Cole, R-Okla., urged support for the legislation ahead of the vote, saying “history reminds us that shutdowns never change the outcome.” 

“Over the last 43 days the facts did not shift, the votes required did not shift, the path forward did not change,” Cole said. “The only thing that did move was the level of pain Democrats inflicted on the nation.”

Much higher premiums predicted 

Connecticut Rep. Rosa DeLauro, the top Democrat on the spending panel, rejected the legislation and said it does nothing to address the rising cost of health care. 

“More than 20 million Americans will have to pay double, even triple, their monthly insurance premium in just a matter of weeks,” DeLauro said. “And this bill leaves families without even a glimmer of hope that their costs might go down.”

U.S. House Appropriations Committee ranking member Rosa DeLauro, D-Conn., speaks with reporters inside the Capitol building on Wednesday, Nov. 12, 2025. (Photo by Jennifer Shutt/States Newsroom)
U.S. House Appropriations Committee ranking member Rosa DeLauro, D-Conn., speaks with reporters inside the Capitol building on Wednesday, Nov. 12, 2025. (Photo by Jennifer Shutt/States Newsroom)

The Senate significantly reworked the stopgap bill the House originally passed in mid-September into what is now a 394-page package, adding in three of the full-year government funding bills and changing the date of the stopgap measure to Jan. 30, among many other provisions. The original stopgap was set to last through Nov. 21. 

The updated measure gives Congress a couple more months to work out agreement on the remaining nine appropriations bills that were supposed to become law before the start of the current fiscal year on Oct. 1. 

Lawmakers could create a partial government shutdown if they’re unable to agree on approving the remaining appropriations bill before the new government funding deadline at the end of January.

Democratic discharge petition

Trump will turn his attention toward the rising cost of health care that Democrats highlighted during the shutdown, White House press secretary Karoline Leavitt said at a Wednesday briefing, though she didn’t put a firm timeline on when he’ll release any plans.

“Once the government reopens, the president, as he’s always maintained, is absolutely open to having conversations about health care,” Leavitt said. “And I think you’ll see the president putting forth some really good policy proposals that Democrats should take very seriously to fix, again, the system that they broke.”

House Minority Leader Hakeem Jeffries told reporters following a closed-door meeting that Democrats will try to get the necessary signatures on a discharge petition to force a floor vote on legislation to extend tax credits for three years for people who buy their health insurance from the Affordable Care Act marketplace.

The New York Democrat said the extension mirrors how long the enhanced tax credits were set to last initially in the Inflation Reduction Act of 2022. 

Temporary health care subsidies were originally passed as part of the COVID-19-era American Rescue Plan in 2021 for two years. The Inflation Reduction Act, the signature climate policy bill from the Biden administration, then extended those health care subsidies for three years, expiring at the end of December 2025. 

“The legislation that we will introduce in the context of a discharge petition will provide that level of certainty to working-class Americans who are on the verge of seeing their premiums, co-pays and deductibles skyrocket,” Jeffries said. 

Democrats will need the support of at least a handful of Republicans in order to get the 218 signatures needed to force a vote on the bill. The discharge petition was released mid-afternoon.

What’s in the new bill

The spending package wraps in several different bills and provisions, such as the three full-year funding bills that cover the Agriculture Department, U.S. Food and Drug Administration, Legislative Branch, military construction projects and Department of Veterans Affairs.

Included are:

  • A stopgap spending bill that will keep the rest of the federal government running through Jan. 30;
  • $30 million for the U.S. Capitol Police to enhance protections for lawmakers, $30 million for the U.S. Marshals Service to bolster security for members of the judicial and executive branches, and $28 million for enhanced safety for Supreme Court justices;
  • Language requiring the Trump administration to reinstate the thousands of workers it sent layoff notices to during the shutdown and preventing officials from firing those workers through January;
  • Provisions mandating the Trump administration provide back pay to all federal workers, including those furloughed during the shutdown. Trump at one point during the shutdown had threatened to yank that back pay, though it is required by law.

The Trump administration issued a Statement of Administration Policy a few hours before the House voted, saying the administration strongly supports the bill, describing the measure as “a fiscally responsible package that provides the full-year funding necessary to support the Nation’s veterans, farmers, and rural communities.”

The package also “ends disruptions to programs the American people rely on and ensures the thousands of Federal employees who have been forced to work without a paycheck, such as air traffic controllers, will be promptly paid,” the administration added. 

The Agriculture and Military Construction-VA spending bills include tens of billions of dollars in earmarks requested by lawmakers from both political parties, important to them as midterm elections loom in 2026.

‘Legislative self-dealing’ in Senate attacked

But not every Republican on Capitol Hill is happy with how the full-year bills turned out. 

Speaker Johnson announced mid-afternoon that the House would take a separate vote later this month to remove language from the package that will allow senators to file suit against the federal government if their data is subpoenaed.

“We are putting this legislation on the fast track suspension calendar in the House for next week,” Johnson wrote in a social media post. 

The provision, tucked into the full-year Legislative Branch spending bill, is retroactive to January 1, 2022, and would apply to the eight senators who had their cell phone records subpoenaed during a 2023 investigation into Trump’s efforts to overturn the 2020 election results. 

The FBI reportedly obtained data for cell phone use between Jan. 4 and Jan. 7, 2021, for Sens. Josh Hawley of Missouri, Lindsey Graham of South Carolina, Bill Hagerty of Tennessee, Dan Sullivan of Alaska, Tommy Tuberville of Alabama, Ron Johnson of Wisconsin, Cynthia Lummis of Wyoming and Marsha Blackburn of Tennessee, as well as Rep. Mike Kelly of Pennsylvania. 

Maryland Democratic Rep. Jamie Raskin said during floor debate the bill “contains the single most corrupt provision for legislative self-dealing that anyone in this chamber today has ever voted on.”

“This provision is an affront to our taxpayers, to the rule of law, to everyone who believes that we in public office must be the servants of the people, not the masters of the people who get special legal rights and privileges and multi-million-dollar payoffs,” Raskin said. 

South Carolina Republican Sen. Lindsey Graham told reporters earlier in the day that he will “definitely” be filing a lawsuit after the new provision becomes law. 

“And if you think I’m going to settle this thing for a million dollars? No. I want to make it so painful no one ever does this again,” Graham said, later adding he wasn’t sure if he’d win such a case.

Dissatisfaction among GOP lawmakers with that provision was on full display on social media, where Florida’s Steube responded to Speaker Johnson’s post by writing that the “Senate will never take up your ‘standalone’ bill. This is precisely why you shouldn’t let the Senate jam the House.”

 

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