Senate Majority Leader John Thune, R-S.D., speaks to reporters while walking to his office on Nov. 10, 2025 on Capitol Hill in Washington, D.C. (Photo by Tom Brenner/Getty Images)

WASHINGTON — Republicans and Democrats in the Senate agree that health care costs are rising too quickly and expect to vote next week on legislation that could help Americans. 

The only catch is that party leaders hadn’t decided as of Tuesday what to include in the bills. 

Senators also seemed to accept that neither proposal will garner the bipartisan support needed to advance, leaving the tens of millions of Americans who purchase their health insurance from the Affordable Care Act marketplace with complicated decisions to make before open enrollment in some states ends as soon as Dec. 15. 

ACA marketplace plans are expected to increase by 26% on average next year, though a failure by Congress to extend enhanced tax credits would lead monthly payments for subsidized enrollees to increase by 114% on average, according to analysis from the nonpartisan health organization KFF. 

“I don’t think at this point we have a clear path forward,” Senate Majority Leader John Thune said. “I don’t think the Democrats have a clear path forward.”

Vote on Democratic bill expected

Thune guaranteed a small group of Democratic senators a floor vote on a health care proposal of their choosing in exchange for their votes on the spending package that ended the government shutdown. 

Democrats are widely expected to put forward a bill to extend enhanced tax credits for people who buy their health insurance from the Affordable Care Act Marketplace. Those subsidies are set to expire at the end of the year without congressional action. 

But it isn’t clear if the Democratic bill would extend the credits for one year or a longer period. 

GOP leaders are trying to rally support around a health care proposal of their own, while acknowledging it won’t get the 60 votes needed to advance under the Senate’s legislative filibuster rules. 

Thune said Republican senators had a “robust discussion” about health care issues during their closed-door lunch, where Finance Committee Chairman Mike Crapo of Idaho and Health, Education, Labor and Pensions Committee Chairman Bill Cassidy of Louisiana presented some ideas. But no final agreements were reached. 

Thune, R-S.D., said conversations will continue ahead of the vote next week and likely afterward.

Senate Minority Leader Chuck Schumer of New York said Democrats “have a plan” but declined to say exactly what it entails.

“Stay tuned,” Schumer said. “We had a great discussion and I will tell you this: We will be focused like a laser on lowering people’s costs.”

Looking for a solution

West Virginia Sen. Shelley Moore Capito said Republican talks on health care have been “vigorous” but that they hadn’t yet “decided on the clear path.” 

Capito said her “expectation” is that GOP senators will put a bill on the floor next week to bring down the costs of health insurance premiums and health care as quickly as possible, though that hadn’t been finalized.  

“I like the idea of people having control of the money as opposed to insurance companies, where they take a 20% profit,” Capito said, echoing comments by President Donald Trump. “I think that has merit.”

Capito said senators didn’t discuss during their lunch whether to extend open enrollment or possibly reopen it next year, should Congress pass a health care bill that addresses the ACA marketplace tax credits in some way.

New Hampshire Democratic Sen. Jeanne Shaheen said there is no indication there will be bipartisan agreement to extend the enhanced ACA subsidies or any other health care proposal by next week’s vote, though bipartisan conversations continue.  

As for Democrats’ plan, Shaheen said it wasn’t “clear” what legislation party leaders will put on the floor for a vote or when they’d make that announcement. 

‘Mindful of the timeline’

North Dakota Republican Sen. John Hoeven said there is “strong support” among GOP lawmakers for making changes to how the enhanced ACA tax credits work before extending them for any length of time. 

But he said those negotiations will take more time. 

“In my opinion, if we have (the vote) next week, we probably won’t be at a point where we can get a big bipartisan agreement,” Hoeven said. “It’s more likely they’ll put something up that fails. We put something up that fails. And we keep working towards, hopefully, something that can work and that is bipartisan.”

There is a “good chance,” he said, that will happen in December or January, a timeline that would likely put a solution after open enrollment closes. 

Hoeven declined to say if a deal would extend open enrollment or include a second window for Americans to select insurance, but said Republicans are aware of the deadlines. 

“We’re very mindful of the timeline,” Hoeven said. “So all the things we’re talking about recognize that it needs to be able to take effect next year or this year.”

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. 

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)

WASHINGTON — Senators on Friday said they plan to remain in town for the weekend, a sign negotiations may be picking up to approve a stopgap spending measure and end the government shutdown, now at day 38.

A vote on a package of spending bills could come either Saturday or Sunday that would partially fund the government, Senate Majority Leader John Thune told reporters.

“Our members are going to be advised to be available if there’s a need to vote,” Thune said. “We will see what happens and whether or not, over the course of the next couple of days, the Democrats can find a way to reengage again.”

Meanwhile, Senate Minority Leader Chuck Schumer offered a proposal from Democrats to agree to reopen the government if health care tax subsidies are continued for a year. 

As open enrollment begins, people who buy their health insurance through the Affordable Care Act Marketplace are seeing a drastic increase in premium costs.

“We’d like to offer a simple proposal,” the New York Democrat said. “To reopen the government and extend the (Affordable Care Act) tax credits simultaneously.” 

Republicans have maintained that any discussion on extending the health care tax credits set to expire at the end of the year will only happen after government funding resumes. House Speaker Mike Johnson this week said he would not promise a vote on the GOP-controlled House floor regarding the issue. 

The nonpartisan Congressional Budget Office in September found that if lawmakers permanently extend the enhanced tax credits for certain people who buy their health insurance through the ACA Marketplace, it would cost the government $350 billion over 10 years and increase the number of those with health insurance by 3.8 million.

But it was unclear how much traction Schumer would get. Several Republicans called the proposal a “non-starter,” such as Sen. Mike Rounds of South Dakota. 

Rounds also questioned if the stopgap spending bill that Democrats agreed to support is the House-passed version that would extend government funding only to Nov. 21 or another that would run longer. 

“It’s good that they’re recognizing that we have to open up the government,” Rounds said of Democrats. 

Oklahoma Sen. Markwayne Mullin called the proposal from Democrats “absurd,” and said there was no way senators could negotiate a deal on health care quickly.

He added that Trump also wants to be part of the negotiations on health care.

“Whatever we do as Republicans, we’ve got to really work close with the president,” Mullin said. “The President wants to be involved in this negotiation.”

Separately, senators failed Friday in a 53-43 vote to move forward on a bill from Wisconsin GOP Sen. Ron Johnson to pay federal workers who Friday missed their second paycheck. Georgia’s Democratic Sens. Jon Ossoff and Raphael Warnock voted with Republicans. Sixty votes were needed.

President Donald Trump on social media said, “The United States Senate should not leave town until they have a Deal to end the Democrat Shutdown. If they can’t reach a Deal, the Republicans should terminate the Filibuster, IMMEDIATELY, and take care of our Great American Workers!”

Flight cutbacks, food aid disruption

The Senate has failed 14 times to move forward on approving a stopgap spending measure to fund the government until Nov. 21. 

As the government shutdown has dragged on for nearly seven weeks, major airports have been hit as they struggle to maintain flight schedules, with air traffic controllers now more than a month without pay.

Meanwhile, federal courts have forced the Trump administration to release billions in emergency funds to provide critical food assistance to 42 million people. On Friday, the U.S. Department of Agriculture said it would issue full November benefits for food assistance in compliance with a court order.

As the debate in Congress goes on, Democrats have refused to back the House-passed version of the GOP stopgap measure over their concerns about the expiration of health care subsidies.

Democrats also want to see federal workers laid off by the Trump administration amid the shutdown rehired. Major wins across the country for Democrats in Tuesday elections in the states bolstered their resolve to reject efforts to end the government shutdown that do not include certain policy wins.  

Historically, lawmakers who have forced shutdowns over policy preferences have not been successful. 

In 2013, the GOP tried to repeal or delay the Affordable Care Act, which did not happen, and in the 2018-2019 shutdown, Trump, in his first term, insisted on additional funding for a border wall. But that shutdown — which set a record exceeded only by the ongoing shutdown — concluded 35 days later with the same amount of money included in the original appropriations bill. 

Thune lament

Thune told reporters Friday that he thought progress was being made on striking a deal to resume government funding, but he said after Democrats’ Thursday caucus meeting, their tune changed. 

“Right now, we’ve got to get the Democrats kind of back engaged,” Thune said.

Following Thursday’s meeting, Democrats remained tight-lipped and did not seem any closer to an internal agreement on how to move forward with resolving the government shutdown.

“I thought we were on a track,” Thune, a South Dakota Republican said. “We’d give them everything they wanted or had asked for.”

Senate Republicans have agreed to allow a floor vote on the Affordable Care Act subsidies and have opened the door to rehiring federal workers, but have not gone further.

“At some point … they have to take yes for an answer, and they were trending in that direction,” Thune said. “And then yesterday, everything kind of, the wheels came off, so to speak, but it’s up to them.”

Democratic Sen. Chris Murphy of Connecticut told reporters Thursday that voters this week made a strong showing in rebuking the Trump administration and that Democrats need to continue their fight amid the government shutdown.

“On Tuesday, all of us in the caucus heard that loud and clear,” Murphy said. “We want to stay together and unified. I think everybody understands the importance of what happened on Tuesday, and wants us to move forward in a way that honors that.”

Bill to pay federal workers

Federal workers going without salaries for more than a month now remains a concern, and Johnson tried to pass his bill through unanimous consent that would send them paychecks. Employees are paid after the end of a shutdown, under the law.

Michigan’s Gary Peters objected to Johnson’s bill over concerns that the Trump administration would not use the funds to pay federal workers, and the measure would not prevent the firing of federal workers. 

Peters pointed to how the Trump administration initially appealed a federal court order that compelled the U.S. Department of Agriculture to pay $9 billion in Supplemental Nutrition Assistance Program, or SNAP, benefits. 

Peters offered his own bill to set “guardrails” on the president’s authority to ensure that the funds are used to pay federal workers and not moved around. The Trump administration has moved around billions in multi-year research funds within the Defense Department to ensure that troops are paid. 

“He walks over Congress all the time,” Peters said of the president while on the Senate floor. 

Johnson objected to Peters’ bill. He argued that his bill does not expand presidential powers.

“We were very careful that it wouldn’t do that,” Johnson told reporters of his bill.

The American Federation of Government Employees, a union that represents 800,000 federal workers, urged Democrats Friday to support Johnson’s bill.

AFGE National President Everett Kelley said in a letter to senators Friday that with Thanksgiving in less than three weeks, Congress needs to come to an agreement on funding the government. 

“Every missed paycheck deepens the financial hole in which federal workers and their families find themselves,” Kelley said. “By the time Congress reaches a compromise, the damage will have been done to their bank accounts, their credit ratings, their health, and their dignity.”