U.S. Senate Minority Leader Chuck Schumer, D-N.Y., and House Minority Leader Hakeem Jeffries, D-N.Y., speak with reporters during a press conference in the U.S. Capitol building in Washington, D.C., on Wednesday, Dec. 3, 2025. (Photo by Jennifer Shutt/States Newsroom)

WASHINGTON — U.S. Senate Democratic Leader Chuck Schumer announced Thursday the chamber will vote next week to extend enhanced tax credits for three years for people who purchase their health insurance from the Affordable Care Act marketplace, though the plan seems unlikely to get the bipartisan support needed to advance. 

While it would typically be difficult for the minority leader to schedule a floor vote, Senate Majority Leader John Thune, R-S.D., agreed that Democrats could bring up a health care bill of their choosing in exchange for voting to end the government shutdown.

Schumer told reporters in recent days to “stay tuned” for details about the legislation while maintaining all Senate Democrats were united around the proposal. The three-year plan he previewed during his floor speech appears identical to one House Democratic leaders have been pressing for in that chamber. 

“Any Republican who claims to care about premium increases on January 1 has only one realistic path, and that’s to support our bill for a simple, clean, three-year extension,” Schumer said. “If Republicans block our bill, there’s no going back. We won’t get another chance to halt these premium spikes before they kick in at the start of the new year.” 

The vote will take place next Thursday, Schumer said. 

Clock ticking on solution

Health care costs have surged to the forefront of the national conversation in recent months, with both Democrats and Republicans in Congress pledging to find solutions. Both agree much more time is needed to make larger, structural changes. 

The Senate committee in charge of health care policy held a hearing Wednesday where senators began to coalesce around extending the enhanced tax credits beyond the end-of-December sunset date. But a bipartisan bill has not yet been introduced in that chamber on that subject. 

Health, Education, Labor and Pensions Chairman Bill Cassidy, R-La., said just after the hearing wrapped up there will likely be a GOP bill, or even a bipartisan one, to counter Schumer’s bill. 

“Yeah, absolutely,” Cassidy said. “I’d like to have a plan that both sides can vote for. But there will be a Republican plan if I have anything to do with it.”

Congress has an especially brief time frame to find a short-term resolution on the expiring tax credits, which would lead the cost of ACA marketplace plans to rise by hundreds or thousands of dollars. 

Open enrollment for ACA marketplace plans ends at different times throughout the country, with some states finishing on Dec. 15. Residents of other states are able to sign up through varying dates in January, but with their coverage starting later in the year. Lawmakers are set to leave Capitol Hill on Dec. 19 for their winter holiday break. 

A poll released Thursday by the nonpartisan health organization KFF showed nearly 60% of ACA marketplace enrollees could not cover the costs of a $300 annual increase in their premiums, while an additional 20% said they couldn’t afford a $1,000 jump in prices per year. 

Gottheimer, Kiggans unveil House bipartisan bill

At the same time Schumer was speaking on the Senate floor, a bipartisan group of House lawmakers, led by New Jersey Democratic Rep. Josh Gottheimer and Virginia Republican Rep. Jen Kiggans, introduced a bill they said could address some of the short-term issues facing ACA enrollees. 

“Although we may have different opinions over the long-term solutions for reforming marketplace health care or if there are even better and cheaper options for publicly available health insurance, we agree on the many aspects of the short-term solutions,” Kiggans said. 

The legislation — which needs to pass a floor vote, make it through the Senate and garner President Donald Trump’s signature — would extend the enhanced ACA marketplace tax credits with new income caps, “guardrails for waste, fraud and abuse” and an overhaul of the pharmacy benefit manager, or PBM, system, Kiggans said. 

The bipartisan group of representatives would then move on to the second part of their plan, not included in the bill, where they would try to make more structural changes to the entire country’s health care system. 

Those bills, Kiggans said, would address hospital billing transparency, implement Health Savings Accounts and advance the Give Kids a Chance Act “to accelerate pediatric cancer treatments and expand access to life-saving therapies for children battling rare diseases.”

Gottheimer said the group wants House leaders to put their bill up for a vote before members leave town for the two-week, end-of-year break. 

“In the last month, families have seen their health insurance premiums surge as they’ve shopped for insurance during open enrollment because enhanced premium tax credits are set to expire, as we all know, at the end of the year,” Gottheimer said. “In fact, because of this, for millions of families on the ACA, their health premiums will rise an average of 26% next year. 

“In Jersey, where we live, it could be even rougher with a 175% increase. That’s $20,000 for a family of four. And that’s why we’re all here together to try to solve this problem, do something about it, and avoid a massive new tax on hard-working families,” he said.

Senators don’t see future in bipartisan House bill

Schumer and other Senate Democrats didn’t appear to take the bipartisan House plan seriously when pressed about it during an early afternoon press conference, asking reporters in the room whether Speaker Mike Johnson, R-La., would actually put it on the floor for a vote. 

“As for whatever House proposals there are, we’ll always look at something, but I don’t even see 15 Republicans supporting it right now,” Schumer said. “Sure an individual or two or three people can say this or that. It’s not going to solve the problem.”

Schumer maintained Senate Democrats’ three-year extension, which does not come with income caps or other changes to the tax credits proposed by centrist Republicans, is the best path forward.

He appeared frustrated when reporters asked him why he didn’t include changes that could have swayed at least some GOP senators to vote for the bill. 

Schumer said it wasn’t worth it for Democrats to put together a bill that a few Republicans might support when he doesn’t expect Speaker Johnson to put the bill on the floor in that chamber given strong opposition to the enhanced tax credits by “half his caucus.”

“Come on,” he said. “The fault is there, not with us.”

Louisiana Republican U.S. Sen. Bill Cassidy talks with reporters in the Dirksen Senate office building on Wednesday, Dec. 3, 2025. (Photo by Jennifer Shutt/States Newsroom)

WASHINGTON — The U.S. Senate committee that oversees health care started coalescing around an approach to lower costs for Americans during a Wednesday hearing, though several hurdles lay ahead.

Republicans and Democrats on the panel appeared to accept that enhanced tax credits for people who purchase their health insurance from the Affordable Care Act marketplace should not expire at the end of the year. Just days are left for open enrollment and premiums are expected to greatly increase. 

The bipartisan momentum among a select group of senators will need to build significantly in the days ahead if an extension of the subsidies is going to speedily garner the 60 votes needed to advance in the Senate and then move through the GOP-controlled House. 

It will also need President Donald Trump’s signature to become law, and he has so far not signaled support for an extension.

“I’m hoping that we can find a bill that can get 60 votes, that can fix the problem with the exchanges for January 1, 2026,” Health, Education, Labor and Pensions Committee Chairman Bill Cassidy, R-La., said. “It shouldn’t be a Republican solution. It shouldn’t be a Democratic solution. It should be an American solution.”

Cassidy cautioned lawmakers on the panel from pressing for “grandiose ideas,” saying Congress must “have a solution for three weeks from now.”  

A ‘political problem’ seen for the GOP

But extending the ACA marketplace subsidies, possibly with tweaks, is just a short-term solution that senators on the committee agreed will need to be followed up with an overhaul of the American health care system. 

Any efforts on larger-scale legislation will bump up against the deeply entrenched politics of the Affordable Care Act, well-funded lobbyists and next year’s midterm elections, none of which will make the process easy. 

Vermont independent Sen. Bernie Sanders, the ranking member on the panel, said he appreciated Cassidy’s “sentiment about wanting to do something quickly,” but said Republicans should have focused on the expiring ACA tax credits earlier in the year, instead of leaving it until now.  

“The reason for this hearing, to be frank, is that my Republican friends understand they’ve got a political problem,” Sanders said. “Their political problem is that all over America today, people on the Affordable Care Act are opening up packages coming from the insurance companies, and guess what? Their premiums on average are doubling and in some cases in my state are tripling or quadrupling.”

Sanders said Congress should extend the enhanced ACA marketplace tax credits for another year, or two, or three, while lawmakers sort through larger, structural issues around health care costs. 

“Yes, the current system is broken. Yes, we need to create a new system,” Sanders said. “But unfortunately, we aren’t going to do it in two weeks.”

Sanders suggested the committee hold a series of hearings in the months ahead featuring leaders from other developed countries that provide health care to all of their residents.

Extensions of tax credits debated

Maine Republican Sen. Susan Collins said “there’s a limit to what we can do in this first year” and that lawmakers are “going to need a two-year plan.”

Collins indicated that she wants to see “reasonable” income caps to limit eligibility for ACA marketplace tax credits in any short-term extension that Congress may pass. 

Washington state Democratic Sen. Patty Murray said Republicans who are serious about addressing the spike in costs for ACA marketplace enrollees should work with Democrats to pass a “clean, one-year extension” of the enhanced subsidies. 

“And if their call for reforming tax credits is serious, we should look at that. We can talk about those reforms ahead of the 2027 year,” Murray said. “But I have to say, I’m not optimistic that most Republicans are serious about this because they refused to talk about this problem before right now, and I’ve been down this road before.”

Murray also rebuked Cassidy for not focusing the committee’s attention on the expiring tax credits earlier in the year by taking a swipe at his vote to confirm Health and Human Services Secretary Robert F. Kennedy Jr.

“This is about as serious as expressing concern about RFK Jr.’s anti-vax crusade after voting to make him the most powerful public health official in the country,” Murray said.

‘Reasonable caps’ backed

Alaska Republican Sen. Lisa Murkowski said members of the committee need to focus on what the next few months and years look like for Americans’ health care costs. 

“I think we’re going to need to have a short-term extension. But I think we can put reasonable caps on. I think that we can put some of the parameters that we have been talking about. There’s no great secret sauce here to how we’re going to deal with this particular dilemma that we’re in,” Murkowski said. “But we’ve got to be looking longer term to — how do we ultimately reduce these costs of care?”

Murkowski said she was also concerned about a decrease in funding for public health and prevention initiatives, before asking the witnesses appearing before the committee what their top recommendations would be for “prevention-type programs that have the strongest evidence for reducing long-term costs.”

Joel White, president of the Council for Affordable Health Coverage in Washington, D.C., said Congress should allow “premium discounts in the individual market for wellness programs,” which he said is currently illegal.

Marcie Strouse, owner and partner at Capitol Benefits Group in Des Moines, Iowa, suggested lawmakers open up health savings accounts “to allow for more holistic and preventive services.” She also said Congress could highlight “direct primary care and making sure people are actually getting the care that they need.”

Dr. Claudia M. Fegan, national coordinator at Physicians for a National Health Program in Chicago, suggested enhanced primary care and screening people for diseases like cancer that can be easier to treat when caught early. 

Wisconsin Democratic Sen. Tammy Baldwin said the hearing clearly demonstrated that there is “underlying agreement that this system needs a lot of reform.”

But, she said, Congress needs to take a look at the entire health care system, not just the Affordable Care Act. 

“I want to make a point that just under 50% of Americans get their health insurance through employers or group insurance, 20% are on Medicaid, 15% on Medicare, 1% on TRICARE or VA, and just over 6% are in this market,” Baldwin said. “There are problems with this market. But I have to say that abandoning the ACA … is not going to solve the system as a whole.”

Ohio Republican Sen. Jon Husted appeared supportive of a short-term extension of the enhanced ACA tax credits to provide Congress more time to address larger issues with health care affordability.

“We can freeze the subsidies where they’re at right now for a temporary period of time. I don’t know if that’s one year or two years to help give some relief,” he said. “And by the way, just because we continue those tax credits does not drive down the cost. It transfers the burden to the taxpayer and future generations. But it is a little help right now that we both can agree on. And then we’ve got to fix it.” 

Husted said there are easily a dozen bills that Congress could take up individually to start bringing down health care costs. 

Hawley offers plan for health costs tax exemption

Missouri Republican Sen. Josh Hawley also appeared to side with extending the enhanced ACA marketplace tax credits in the short term.

“We are looking at a massive crisis unless Congress acts and acts soon,” Hawley said. “And my message is to the leadership of this body — to the leaders of the House, the leaders of the Senate —maybe it’s time we all locked ourselves in a room and got to a solution here.”

Halwey pitched a bill he just introduced to exempt health care from taxes. 

“If you pay premiums, you ought to be able to deduct that from your taxes. If you have out-of-pocket medical expenses, you ought to be able to deduct every dollar off of your taxes. You want to lower the cost of health care immediately. Do that. No taxes on health care for any American,” Hawley said. “And you set an upper limit so you don’t have rich people gaming the system. I get it. That’s fine. But let’s think about working people in this country who cannot afford health care.”

Hawley said it should be allowed whether an American itemizes on their taxes or not. 

All three panelists seemed initially supportive of the idea. 

Redoing tax credits in 2026

Cassidy said after the two-hour hearing he’s working to get support from lawmakers in both political parties for an integrated approach for next year.

“You could use the income that would be used to extend the subsidies, apply them to the bronze plan, because the bronze plan is so much less expensive. You could then put that balance into the health savings account,” Cassidy said, referring to coverage levels in plans on the ACA marketplace. “So it does continue the support using the existing mechanisms we have, but integrates the HSA, which gives first dollar coverage and could potentially lower the net deductible.”

Cassidy said Congress could extend the open enrollment period for the ACA marketplace and then fund the Health Savings Accounts, which are tax-advantaged savings accounts, before the end of March. 

“People would save their receipts and submit them for payment,” he said. “People do that all the time.”

As states continue to curb health insurers’ use of artificial intelligence, patients and doctors are arming themselves with AI tools to fight claims denials, prior authorizations and soaring medical bills. (Photo by Anna Claire Vollers/Stateline)

As states strive to curb health insurers’ use of artificial intelligence, patients and doctors are arming themselves with AI tools to fight claims denials, prior authorizations and soaring medical bills.

Several businesses and nonprofits have launched AI-powered tools to help patients get their insurance claims paid and navigate byzantine medical bills, creating a robotic tug-of-war over who gets care and who foots the bill for it.

Sheer Health, a three-year-old company that helps patients and providers navigate health insurance and billing, now has an app that allows consumers to connect their health insurance account, upload medical bills and claims, and ask questions about deductibles, copays and covered benefits.

“You would think there would be some sort of technology that could explain in real English why I’m getting a bill for $1,500,” said cofounder Jeff Witten. The program uses both AI and humans to provide the answers for free, he said. Patients who want extra support in challenging a denied claim or dealing with out-of-network reimbursements can pay Sheer Health to handle those for them.

In North Carolina, the nonprofit Counterforce Health designed an AI assistant to help patients appeal their denied health insurance claims and fight large medical bills. The free service uses AI models to analyze a patient’s denial letter, then look through the patient’s policy and outside medical research to draft a customized appeal letter.

Other consumer-focused services use AI to catch billing errors or parse medical jargon. Some patients are even turning to AI chatbots like Grok for help.

A quarter of adults under age 30 said they used an AI chatbot at least once a month for health information or advice, according to a poll the health care research nonprofit KFF published in August 2024. But most adults said they were not confident that the health information is accurate.

State legislators on both sides of the aisle, meanwhile, are scrambling to keep pace, passing new regulations that govern how insurers, physicians and others use AI in health care. Already this year, more than a dozen states have passed laws regulating AI in health care, according to Manatt, a consulting firm.

“It doesn’t feel like a satisfying outcome to just have two robots argue back and forth over whether a patient should access a particular type of care,” said Carmel Shachar, assistant clinical professor of law and the faculty director of the Health Law and Policy Clinic at Harvard Law School.

“We don’t want to get on an AI-enabled treadmill that just speeds up.”

A black box

Health care can feel like a black box. If your doctor says you need surgery, for example, the cost depends on a dizzying number of factors, including your health insurance provider, your specific health plan, its copayment requirements, your deductible, where you live, the facility where the surgery will be performed, whether that facility and your doctor are in-network and your specific diagnosis.

Some insurers may require prior authorization before a surgery is approved. That can entail extensive medical documentation. After a surgery, the resulting bill can be difficult to parse.

Witten, of Sheer Health, said his company has seen thousands of instances of patients whose doctors recommend a certain procedure, like surgery, and then a few days before the surgery the patient learns insurance didn’t approve it.

In recent years, as more health insurance companies have turned to AI to automate claims processing and prior authorizations, the share of denied claims has risen. This year, 41% of physicians and other providers said their claims are denied more than 10% of the time, up from 30% of providers who said that three years ago, according to a September report from credit reporting company Experian.

Insurers on Affordable Care Act marketplaces denied nearly 1 in 5 in-network claims in 2023, up from 17% in 2021, and more than a third of out-of-network claims, according to the most recently available data from KFF.

Insurance giant UnitedHealth Group has come under fire in the media and from federal lawmakers for using algorithms to systematically deny care to seniors, while Humana and other insurers face lawsuits and regulatory investigations that allege they’ve used sophisticated algorithms to block or deny coverage for medical procedures.

Insurers say AI tools can improve efficiency and reduce costs by automating tasks that can involve analyzing vast amounts of data. And companies say they’re monitoring their AI to identify potential problems. A UnitedHealth representative pointed Stateline to the company’s AI Review Board, a team of clinicians, scientists and other experts that reviews its AI models for accuracy and fairness.

“Health plans are committed to responsibly using artificial intelligence to create a more seamless, real-time customer experience and to make claims management faster and more effective for patients and providers,” a spokesperson for America’s Health Insurance Plans, the national trade group representing health insurers, told Stateline.

But states are stepping up oversight.

Arizona, Maryland, Nebraska and Texas, for example, have banned insurance companies from using AI as the sole decisionmaker in prior authorization or medical necessity denials.

Dr. Arvind Venkat is an emergency room physician in the Pittsburgh area. He’s also a Democratic Pennsylvania state representative and the lead sponsor of a bipartisan bill to regulate the use of AI in health care.

He’s seen new technologies reshape health care during his 25 years in medicine, but AI feels wholly different, he said. It’s an “active player” in people’s care in a way that other technologies haven’t been.

“If we’re able to harness this technology to improve the delivery and efficiency of clinical care, that is a huge win,” said Venkat. But he’s worried about AI use without guardrails.

His legislation would force insurers and health care providers in Pennsylvania to be more transparent about how they use AI; require a human to make the final decision any time AI is used; and mandate that they show evidence of minimizing bias in their use of AI.

“In health care, where it’s so personal and the stakes are so high, we need to make sure we’re mandating in every patient’s case that we’re applying artificial intelligence in a way that looks at the individual patient,” Venkat said.

Patient supervision

Historically, consumers rarely challenge denied claims: A KFF analysis found fewer than 1% of health coverage denials are appealed. And even when they are, patients lose more than half of those appeals.

New consumer-focused AI tools could shift that dynamic by making appeals easier to file and the process easier to understand. But there are limits; without human oversight, experts say, the AI is vulnerable to mistakes.

“It can be difficult for a layperson to understand when AI is doing good work and when it is hallucinating or giving something that isn’t quite accurate,” said Shachar, of Harvard Law School.

For example, an AI tool might draft an appeals letter that a patient thinks looks impressive. But because most patients aren’t medical experts, they may not recognize if the AI misstates medical information, derailing an appeal, she said.

“The challenge is, if the patient is the one driving the process, are they going to be able to properly supervise the AI?” she said.

Earlier this year, Mathew Evins learned just 48 hours before his scheduled back surgery that his insurer wouldn’t cover it. Evins, a 68-year-old public relations executive who lives in Florida, worked with his physician to appeal, but got nowhere. He used an AI chatbot to draft a letter to his insurer, but that failed, too.

On his son’s recommendation, Evins turned to Sheer Health. He said Sheer identified a coding error in his medical records and handled communications with his insurer. The surgery was approved about three weeks later.

“It’s unfortunate that the public health system is so broken that it needs a third party to intervene on the patient’s behalf,” Evins told Stateline. But he’s grateful the technology made it possible to get life-changing surgery.

“AI in and of itself isn’t an answer,” he said. “AI, when used by a professional that understands the issues and ramifications of a particular problem, that’s a different story. Then you’ve got an effective tool.”

Most experts and lawmakers agree a human is needed to keep the robots in check.

AI has made it possible for insurance companies to rapidly assess cases and make decisions about whether to authorize surgeries or cover certain medical care. But that ability to make lightning-fast determinations should be tempered with a human, Venkat said.

“It’s why we need government regulation and why we need to make sure we mandate an individualized assessment with a human decisionmaker.”

Witten said there are situations in which AI works well, such as when it sifts through an insurance policy — which is essentially a contract between the company and the consumer — and connects the dots between the policy’s coverage and a corresponding insurance claim.

But, he said, “there are complicated cases out there AI just can’t resolve.” That’s when a human is needed to review.

“I think there’s a huge opportunity for AI to improve the patient experience and overall provider experience,” Witten said. “Where I worry is when you have insurance companies or other players using AI to completely replace customer support and human interaction.”

Furthermore, a growing body of research has found AI can reinforce bias that’s found elsewhere in medicine, discriminating against women, ethnic and racial minorities, and those with public insurance.

“The conclusions from artificial intelligence can reinforce discriminatory patterns and violate privacy in ways that we have already legislated against,” Venkat said.

Stateline reporter Anna Claire Vollers can be reached at avollers@stateline.org.

Sen. Tammy Baldwin (D-Wisconsin) speaks Wednesday about the effort to extend enhanced Affordable Care Act insurance premium tax credits that will expire at the end of 2025. Nancy Peske, left, and Julia Harris-Robinson, center also joined the press conference. (Photo by Erik Gunn/Wisconsin Examiner)

With the loss of enhanced subsidies for the health insurance she has bought on the federal marketplace HealthCare.gov, Nancy Peske’s health plan will cost $1,163.50 a month in 2026.

That’s more than three times what she paid this year — $372 a month, Peske said Wednesday.

But if there’s one thing she wants everyone to know, it’s this: The higher prices for health insurance aren’t just something that she and other people who buy their coverage on the federal marketplace are facing.

Long before the ACA, Peske learned about “the premium death spiral,” she said.

“The more you raise the price, the more people drop out of the pool. This means you have to raise the price, which means more people drop out of the pool. And it goes on and on and on,” Peske said.

“It’s not just my health insurance that’s going to go up. It’s everybody’s — right?” she said. “We’re all in this together.”

Peske was one of two people who have relied on HealthCare.gov, created as part of the Affordable Care Act, who spoke Wednesday at a press conference in Milwaukee with Sen. Tammy Baldwin (D-Wisconsin).

Baldwin called the press conference  to draw attention anew to the skyrocketing cost of health insurance — and to the failure of Congress to address it in the stopgap spending bill that passed the U.S. Senate Monday, the U.S. House Wednesday evening and was signed by President Donald Trump.

“This is a health and wellness issue,” Baldwin said. “This is an affordability and cost-of-living issue, and this is a quality of life and dignity issue. And it touches every single one of us right now.”

A success amid ‘a broken system’

Health care in the U.S. is “a broken system that prioritizes profits over patients,” Baldwin said. Despite that, she said, the 2010 Affordable Care Act was an important advance for expanding health care access.

She said that was improved by enhanced federal subsidies enacted in 2021 to offset the cost of health insurance for people who must buy their own policies on the federal HealthCare.gov marketplace that was created by the ACA — making insurance more affordable and drawing record numbers of people to the marketplace to get health coverage.

The enhanced subsidies expire at the end of 2025, however, and until this week a Republican stopgap spending bill that passed the U.S. House in September stalled in the U.S. Senate as Democrats pushed unsuccessfully to extend the subsidies.  

“That is what is at the center of the government shutdown and debate in Washington, D.C.,” Baldwin said. “We know the impact of taking away these tax breaks. For 275,000 Wisconsinites, their health care [insurance] costs will double, triple or even more. For 30,000 Wisconsinites, they predict the price will be too high, and that those Wisconsinites will go without insurance altogether.”

A handful of Democratic Senators changed their votes Monday to advance the spending bill in return for a promise of a future vote on the subsidies, with the House taking up the revised bill Wednesday. Baldwin didn’t join them.

“I said the entire time that a handshake deal with my Republican colleagues to reopen the government and no real action to lower health care costs was simply not good enough,” said Baldwin of her vote against the bill.

She also forced an amendment to extend the tax credits for a year — a compromise, she said, because she wants them extended permanently, but one she offered “to avoid catastrophe for families across Wisconsin and give folks breathing room while we negotiate longer-term solutions.”

The amendment failed on a party-line vote.

“Every single Republican voted no on my amendment,” Baldwin said. “They chose to send a clear, unmistakable message that they are OK with jacking up health care costs on 22 million Americans.”

Early retirement, then sticker shock

HealthCare.gov user Erica Topps also joined Baldwin’s news conference. Topps took early retirement in April and bought a health insurance policy through the federal marketplace for herself and her college-age daughter that started in June.

At the marketplace open enrollment for 2026 that started Nov. 1, that plan’s premium increased by $1,200 a month and the deductible went from $6,700 per person to $10,600 per person, Topps told reporters She found another plan via the marketplace and is enrolling, but she’s concerned about the future beyond that.

“Part of my plan is to go back to work” so she can get health insurance, Topps told the Wisconsin Examiner, because it will be 10 years before she can qualify for Medicare.

Before taking early retirement, “I did my due diligence,” she said. “I feel like the rug was pulled out from under me.”

Peske is a freelance writer, editor and consultant. She is also a cancer survivor, whose diagnosis two years ago was covered thanks to her HealthCare.gov policy. Going without health insurance is unthinkable, but at the age of 63, she must wait another two years before she can go on Medicare, she said.

Peske told the Wisconsin Examiner that she will scrape together the money to afford her new premium. “I’ll not put a dime into my underfunded retirement account,” she said. She expects to “tighten the belt” on household expenses, “and I will probably cut into my savings.”

Freelancers and small businesses account for 40% of the U.S. economy, Peske told reporters.

“Do you want everyone to go out of business?” she asked. “Should I just do what so many people do and get a much lower paying job at a company? Because I’m desperate for health care. I don’t think that’s the solution. I think you want to keep people like me in business, generating money, adding to the economy, and being able to live, to not die of cancer.”

Seeking inroads with GOP lawmakers

Baldwin said she has been talking with Republicans about finding common ground in increased transparency in the health care system, from insurance companies, pharmacy benefit managers and providers.

In addition, she told the Wisconsin Examiner after the press conference, she continues to have conversations with GOP Senate colleagues who have expressed interest in continuing the subsidies to avert the sharp hike in premiums.

None of them were willing to break ranks and vote for her amendment this week, however.

“Those discussions were happening informally, in quiet, not in the public spotlight,” Baldwin said. “But they were afraid to vote on something that they, probably, some of them want, because Donald Trump said you can’t talk about this before the government reopens.”

Baldwin said that the next step will be for the Democrats to settle on the bill that Republican Senate Majority Leader John Thune has promised they could bring to the upper chamber for a vote.

As much as she favors a permanent extension of the enhanced credits, if the Democrats go that route, “we know it will go down, and it will be on a pretty much a partisan vote,” Baldwin said.

“I want results, so that probably dictates towards supporting something that conceivably does respond to some of the concerns Republicans have raised,” she said. “I’d like to pick the path most reasonably likely to succeed on behalf of the people who sent me to Washington to fight for them.”

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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 — The U.S. Senate approved a stopgap spending bill Monday that will end the longest government shutdown in American history once the measure becomes law later this week.

The 60-40 vote sends the updated funding package back to the House, where lawmakers in that chamber are expected sometime during the next few days to clear the legislation for President Donald Trump’s signature. 

Shortly before the vote, Trump said he plans to follow the agreements included in the revised measure, including the reinstatement of thousands of federal workers who received layoff notices during the shutdown. 

“I’ll abide by the deal,” Trump said. “The deal is very good.”  

Republicans, he added, will soon begin work on legislation to provide direct payments to Americans to help them afford the rising cost of health insurance, one of the core disagreements between the political parties that led to the shutdown. 

“We want a health care system where we pay the money to the people instead of the insurance companies,” Trump said from the Oval Office. “And I tell you, we are going to be working on that very hard over the next short period of time.”

House members told to head to D.C.

Earlier in the day, House Speaker Mike Johnson urged representatives to begin traveling back to Capitol Hill as soon as possible to ensure they arrive in time to vote on the bill to reopen the government, after the measure arrives from the Senate. 

The Louisiana Republican’s request came as airlines were forced to delay or cancel thousands of flights on the 41st day of the shutdown, a situation that could potentially impact a House vote on the stopgap spending bill if members don’t follow his advice. 

“The problem we have with air travel is that our air traffic controllers are overworked and unpaid. And many of them have called in sick,” Johnson said. “That’s a very stressful job and even more stressful, exponentially, when they’re having trouble providing for their families. And so air travel has been grinding to a halt in many places.”

Johnson then told his colleagues in the House, which hasn’t been in session since mid-September, that lawmakers from both political parties “need to begin right now returning to the Hill.”

Trump threatens air traffic controllers

Trump took a markedly different tone over the challenges air traffic controllers have faced during the shutdown in a social media post that he published several hours before he spoke to reporters about the deal to reopen government. 

“All Air Traffic Controllers must get back to work, NOW!!! Anyone who doesn’t will be substantially ‘docked,’” Trump wrote, without explaining what that would mean for workers who had to take time off since the shutdown began Oct. 1. 

Trump added that he would like to find a way to provide $10,000 bonuses to air traffic controllers who didn’t require any time off during the past six weeks.

“For those that did nothing but complain, and took time off, even though everyone knew they would be paid, IN FULL, shortly into the future, I am NOT HAPPY WITH YOU. You didn’t step up to help the U.S.A. against the FAKE DEMOCRAT ATTACK that was only meant to hurt our Country,” Trump wrote. “You will have a negative mark, at least in my mind, against your record. If you want to leave service in the near future, please do not hesitate to do so, with NO payment or severance of any kind!” 

An end in sight

The Senate-passed package will provide stopgap funding for much of the federal government through January 30, giving lawmakers a couple more months to work out agreement on nine of the dozen full-year spending bills.  

The package holds several other provisions, including the full-year appropriations bills for the Agriculture Department, the Legislative Branch, military construction projects and the Department of Veterans’ Affairs. 

Seven Democrats and one independent broke ranks Sunday on a procedural vote that advanced the package, drawing condemnation from some House members and outside advocacy groups unhappy that no solution was arrived at to counter skyrocketing health insurance premium increases for people in the Affordable Care Act marketplace.

Republicans hold 53 seats in the Senate, where bipartisanship is required for major bills to move forward under the 60-vote legislative filibuster. 

Senate Majority Leader John Thune, R-S.D., said during a floor speech Monday he was “grateful that the end” of the stalemate was in sight. 

“We’re on the 41st day of this shutdown — nutrition benefits are in jeopardy; air travel is in an extremely precarious situation; our staffs and many, many other government workers have been working for nearly six weeks without pay,” Thune said. “I could spend an hour talking about all of the problems we’ve seen, which have snowballed the longer the shutdown has gone on. But all of us, Democrat and Republican, who voted for last night’s bill are well aware of the facts.”

Schumer bid for deal on health care costs fails

Senate Minority Leader Chuck Schumer, D-N.Y., was far less celebratory after his bid to get Republicans to negotiate a deal on health care costs by forcing a shutdown failed. 

“The past few weeks have exposed with shocking clarity how warped Republican priorities truly are. While people’s health care costs have gone up, Republicans have come across as a party preoccupied with ballrooms, Argentina bailouts and private jets,” Schumer said. “Republicans’ breach of trust with the American people is deep and perhaps irreversible.” 

“And now that they have failed to do anything to prevent premiums from going up, the anger that Americans feel against Donald Trump and the Republicans is going to get worse,” Schumer added. “Republicans had their chance to fix this and they blew it. Americans will remember Republican intransigence every time they make a sky-high payment on health insurance.” 

Schumer was insistent throughout the shutdown that Democrats would only vote to advance a funding bill after lawmakers brokered a bipartisan deal to extend tax credits that are set to expire at the end of December for people who purchase their health insurance from the Affordable Care Act marketplace. 

That all changed on Sunday when Democratic Sens. Dick Durbin of Illinois, John Fetterman of Pennsylvania, Maggie Hassan and Jeanne Shaheen of New Hampshire, Tim Kaine of Virginia, and Catherine Cortez Masto and Jacky Rosen of Nevada voted to move the bill toward a final passage vote.

Maine independent Sen. Angus King of Maine, who caucuses with Democrats, also voted to advance the legislation.  

Jeffries still supports Schumer

House Democratic Leader Hakeem Jeffries said during a press conference Monday afternoon that he still believes Schumer is effective and should keep his role in leadership, despite the outcome. 

“Leader Schumer and Senate Democrats over the last seven weeks have waged a valiant fight on behalf of the American people. And I’m not going to explain what a handful of Senate Democrats have decided to do. That’s their explanation to offer to the American people,” Jeffries said. 

“What we’re going to continue to do as House Democrats, partnered with our allies throughout America, is to wage the fight, to stay in the coliseum, to win victories in the arena on behalf of the American people notwithstanding whatever disappointments may arise,” he said. “That’s the reality of life, that’s certainly the reality of this place. But we’re in this fight for all the right reasons.” 

Speaker Johnson said earlier in the day that the “people’s government cannot be held hostage to further anyone’s political agenda. That was never right. And shutting down the government never produces anything.”

Johnson reiterated that GOP lawmakers are “open to finding solutions to reduce the oppressive costs of health care,” though he didn’t outline any plans to do that in the weeks and months ahead. 

People wait in line at a security checkpoint at Charlotte-Douglas International Airport  on Nov. 9, 2025 in Charlotte, North Carolina. The FAA has targeted 40 "high-volume" airports, including Charlotte-Douglas International Airport, for flight cuts amid the government shutdown. (Photo by Grant Baldwin/Getty Images)

This report has been updated.

WASHINGTON — Seven U.S. Senate Democrats and one independent joined Republicans on Sunday night in advancing legislation to reopen the government and temporarily keep it afloat until the end of January, after a record-breaking shutdown that began Oct. 1.

Democratic Sens. Dick Durbin of Illinois, John Fetterman of Pennsylvania, Maggie Hassan and Jeanne Shaheen of New Hampshire, Tim Kaine of Virginia, and Catherine Cortez Masto and Jacky Rosen of Nevada voted with most of the GOP to advance the stopgap measure through a 60-40 procedural vote. 

Sen. Angus King of Maine, an independent who caucuses with Democrats, also voted in support.  

Fetterman, King and Cortez Masto had already voted with Republicans on the previous 14 votes to reopen the government. Until Sunday, Republicans who control the chamber did not have the 60 votes needed to clear the filibuster threshold.

GOP Sen. Rand Paul of Kentucky, who has consistently voted against the temporary funding measure, again cast a “no” vote.

The deal would also unlock full-year funding for a vital food aid program that serves 42 million Americans and bring back federal workers fired by President Donald Trump when the government was closed.

It does not include language addressing skyrocketing premiums for those enrolled in individual health insurance plans in the Affordable Care Act marketplace, a major sticking point for Democrats. Senate Majority Leader John Thune, R-S.D., said late Sunday on the Senate floor that he commits to holding a separate vote on health insurance subsidies no later than the second week of December.

In a press conference following the vote, Rosen said Democrats have “an opportunity also to put Republicans on the record on the ACA.”

“Are they committed to doing this? Are they committed leaders who said, ‘You can come to the table on health care once the government was open’? And now he must follow through. If Republicans want to join us in lowering costs for working families, they have the perfect opportunity to show the American public,” Rosen said.

New text of a temporary stopgap funding deal released Sunday night proposes to keep the government open until Jan. 30. The bill would also reinstate all federal employees who were fired after the shutdown began, restoring their jobs with back pay, and prohibit any further layoffs until the temporary funding expires.

As part of the agreement, three fiscal year 2026 funding bills will ride along with the package, including the appropriations bills for agriculture programs, veterans benefits, military construction and Congress.

Divided Democrats

Several Senate Democrats left a lengthy closed-door meeting earlier Sunday night upset that the deal does not include anything to address rising health care premiums, on which the party has staked the 40-day shutdown. 

Subsidies for those who buy insurance on the Affordable Care Act insurance marketplace expire at the end of this year.

“So far as I’m concerned, health care isn’t included, so I’ll be a no,” said Sen. Richard Blumenthal, D-Conn.

Sens. Chris Van Hollen of Maryland and Wisconsin’s Tammy Baldwin also issued statements following the caucus meeting declaring they would vote no. Majority Leader Chuck Schumer also told reporters on his way out of the meeting that he’s opposed to the deal.

Sen. Andy Kim of New Jersey said on social media he would oppose it. ”I’ve been clear that we need real action to stop the devastating health care cost increases that are hurting millions of families,” he said.

Sen. Tim Kaine, D-Va., issued a statement expressing support for the agreement, highlighting that Senate Republicans have promised a vote on extending the health care subsidies.

“This deal guarantees a vote to extend Affordable Care Act premium tax credits, which Republicans weren’t willing to do. Lawmakers know their constituents expect them to vote for it, and if they don’t, they could very well be replaced at the ballot box by someone who will,” Kaine said.

Government reopening will take time

The Sunday night vote does not mean the government will reopen right away.

The legislation must make its way through Senate procedural steps and then gain approval from the U.S. House, which hasn’t been in session since Sept. 19. House Speaker Mike Johnson, a Louisiana Republican, attended the Washington Commanders football game with Trump Sunday night in Landover, Maryland.

Trump briefly spoke to reporters upon news of the deal after leaving the NFL game, telling them, “It looks like we’re getting very close to the shutdown ending.”

Nearly a million federal workers have missed paychecks during the shutdown, and food benefits for the poorest Americans stopped flowing at the beginning of November. 

Air travel has also become snarled as the shutdown has dragged on, and air traffic controllers are under pressure without pay. The Federal Aviation Administration began cutting flights Friday at 40 major airports across the U.S. The cuts are set to ramp up to a 10% decrease in air traffic.

SNAP funding

The deal includes provisions that Democrats say the Trump administration sought to shrink or cut altogether, including fresh fruit and vegetable subsidies for mothers with children and monthly food boxes for low-income seniors.

The legislation would direct $8.2 billion to the Special Supplemental Nutrition Program for Women, Infants and Children, otherwise known as WIC, a roughly $600 million increase over last year’s program amount.

During the shutdown, the administration used $150 million from a U.S. Department of Agriculture rainy day fund to keep the program going. The bill would replenish the contingency money.

The bill also fully funds the Supplemental Nutrition Assistance Program, or SNAP, and children’s nutrition programs, including subsidized school breakfast and lunch, and the availability of food during summer school breaks.

Democrats on the Senate Committee on Appropriations say it included “key funding for SNAP and other critical nutrition programs as President Trump fights in court during the government shutdown to cut off benefits for 42 million Americans who rely on SNAP to feed their families,” according to a bill summary. 

The USDA directed states to begin releasing the November SNAP benefits onto recipients’ benefits debit cards after a Rhode Island federal district judge and circuit court ordered the Trump administration to do so last week. 

Trump appealed the order to the Supreme Court, which stayed the decision. A department memo Saturday told states that released the full benefits to take back a portion of them.

The bill would also direct money to the SNAP emergency contingency fund.

Hemp ban

Hemp farmers are sounding the alarm about a provision in the bill that they say would “effectively eliminate the legal hemp industry built under the 2018 farm bill,” according to a Sunday statement from the Hemp Industry and Farmers of America.

Lawmakers are “slamming the door on 325,000 American jobs and forcing consumers back to dangerous black markets,” the industry group’s executive director Brian Swensen said. 

Swensen also added: “The hemp industry has been ready and willing to work on responsible regulations – age restrictions, testing requirements, proper labeling — but instead of collaboration, the industry is getting a misguided prohibition through backdoor appropriations deals.” 

House trepidation

Several House Democrats, including a top appropriator, criticized the deal.

House Minority Leader Hakeem Jeffries blamed Republicans for the proposal Sunday night in a statement, saying House and Senate Democrats have “waged a valiant fight” for the last seven weeks.

“It now appears that Senate Republicans will send the House of Representatives a spending bill that fails to extend the Affordable Care Act tax credits. As a result of the Republicans refusal to address the healthcare crisis that they have created, tens of millions of everyday Americans are going to see their costs skyrocket,” Jeffries said.

Rep. Rosa DeLauro, the top House Democratic appropriator, said she did not agree to the release of the veterans and military construction bill as an attachment to the deal.

“Congress must invest in veterans, address the health care crisis that is raising costs on more than 20 million Americans, and prevent President Trump from not spending appropriated dollars in our communities,” DeLauro, D-Conn., said in a statement.

Rep. Angie Craig joined other House Democrats in slamming the Senate negotiations on social media.

“If people believe this is a ‘deal,’ I have a bridge to sell you. I’m not going to put 24 million Americans at risk of losing their health care. I’m a no,” said Craig, of Minnesota.

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.”

Volunteers with the Capital Area Food Bank distribute items to furloughed federal workers in partnership with No Limits Outreach Ministries in Hyattsville, Maryland, on Oct. 28, 2025. (Photo by Ashley Murray/States Newsroom)

This report has been updated.

WASHINGTON — The U.S. Senate Tuesday failed for the 14th time to advance a stopgap spending bill to fund the government, as the ongoing shutdown hit 35 days and is now tied with the shutdown of 2018-2019 as the longest ever.

The 54-44 vote was nearly identical to the previous 13 votes, as Republicans and Democrats remained unwilling to change positions. The legislation extending funding to Nov. 21 needed at least 60 votes to advance, per the Senate’s legislative filibuster. 

Even though the upper chamber has been unable to pass a stopgap spending measure for more than a month, Senate Majority Leader John Thune, R-S.D., told reporters Tuesday that he believes senators are “making progress.” 

He floated keeping the Senate in session next week. The chamber is scheduled to be in recess for the Veterans Day holiday. 

“We’ll think through that as the week progresses, but I guess my hope would be we’ll make some progress,” he said.

Thune added that any stopgap spending bill will need to be extended past Nov. 21, “because we’re almost up against the November deadline right now.”

Duffy warns of flight ‘chaos’ due to staff shortages

Transportation Secretary Sean Duffy warned during a Tuesday press conference at the Department of Transportation that if the government shutdown continues into next week, it would lead to “chaos” and certain airspace would need to be closed due to a shortage of air traffic controllers who have continued to work amid the shutdown.

House Speaker Mike Johnson, R-La., said at a separate press conference at the Capitol that he would bring the House back to vote on a stopgap spending measure if the Senate extends the funding date.

“If the Senate passes something, of course we’ll come back,” Johnson said. “We’re running out of (the) clock.”

Johnson said he is “not a fan” of extending the bill to December and would prefer a January deadline. 

He said extending a stopgap funding bill “into January makes sense, but we got to, obviously, build consensus around that.” 

Senators at odds

On Tuesday’s Senate vote, Nevada Sen. Catherine Cortez Masto and Pennsylvania Sen. John Fetterman, both Democrats, and Maine independent Sen. Angus King voted with Republicans to advance the legislation. Kentucky GOP Sen. Rand Paul voted no.

Senate Democrats have refused to support the House-passed GOP measure over concerns about the expiration of health care tax subsidies. As open enrollment begins, people who buy their health insurance through the Affordable Care Act Marketplace are seeing a drastic spike in premium costs. 

Republicans have maintained that any negotiations on health care must occur after Democrats agree to fund the government. 

The Trump administration has also tried to pressure Democrats to accept the House stopgap spending measure by instructing the U.S. Department of Agriculture to not tap into its contingency fund to provide critical food assistance to 42 million Americans. 

SNAP fight

Two federal courts have found the Trump administration acted unlawfully in holding back those benefits, and on Monday USDA announced it would partially release Supplemental Nutrition Assistance Program, or SNAP, benefits. 

However, President Donald Trump Tuesday morning wrote on his social media platform that SNAP benefits would only be released when Democrats vote to reopen the government, a move that would likely violate the two court orders.

“SNAP BENEFITS, which increased by Billions and Billions of Dollars (MANY FOLD!) during Crooked Joe Biden’s disastrous term in office (Due to the fact that they were haphazardly ‘handed’ to anyone for the asking, as opposed to just those in need, which is the purpose of SNAP!), will be given only when the Radical Left Democrats open up government, which they can easily do, and not before!,” he wrote.

White House press secretary Karoline Leavitt said during a Tuesday briefing that the president’s social media post did not refer to the court order, but was referring to future SNAP payments.

“The president doesn’t want to tap into this (contingency) fund in the future and that’s what he was referring to,” she said.

‘Republican health care crisis’ 

House Minority Leader Hakeem Jeffries of New York stood firm in his party’s demands over extending health care tax credits in order to back a stopgap spending bill during a Tuesday press conference at the Capitol.

“We want to reopen the government — we want to find a bipartisan path forward toward enacting a spending agreement that actually makes life better for the American people, that lowers costs for the American people, as opposed to the Trump economy where things are getting more expensive by the day,” Jeffries said. 

“And, of course, we have to decisively address the Republican health care crisis that is crushing the American people all across the land.” 

He noted that Republicans’ refusal to extend the enhanced Affordable Care Act tax credits would result in “tens of millions of Americans experiencing dramatically increased premiums, co-pays and deductibles.” 

An analysis by KFF shows that those enrollees in the Affordable Care Act marketplace who currently receive a tax credit are likely to see their monthly premium payments more than double by about 114% on average.

Senate Minority Leader Chuck Schumer said the spike in health care premiums will cause some people to choose to forgo health care insurance.

“It’s a five-alarm health care emergency,” Schumer said. 

Johnson’s January CR rationale 

Meanwhile, Johnson said at his press conference that “a lot of people around here have PTSD about Christmas omnibus spending bills,” when speaking out against a December extension of the stopgap spending bill. 

GOP leaders have sought to do away with the practice of bundling at the end of the year the final versions of the dozen annual government funding bills into what’s known as an omnibus package. 

“We don’t want to do that. It gets too close, and we don’t want to have that risk,” Johnson said. “We’re not doing that.” 

However, it’s unclear how long the new stopgap spending bill will extend. Thune, during a Tuesday press conference, said a year-long continuing resolution, or CR, was not on the table. 

“There’s a conversation around what that next deadline would be,” Thune said, adding that there is not an agreement yet.

Volunteers from No Limits Outreach Ministries in Hyattsville, Maryland, and the Capital Area Food Bank prepare for distribution on Oct. 28, 2025 to furloughed federal workers affected by the government shutdown. People with government employment ID began lining up hours ahead of time. (Photo by Ashley Murray/States Newsroom)

WASHINGTON — By Saturday, millions of Americans are expected to face a drastic spike in health care premium costs during open enrollment, though a hunger crisis may have been temporarily averted, both tied to the ongoing government shutdown.

A federal judge in Massachusetts Friday afternoon found that the U.S. Department of Agriculture acted unlawfully in deciding to withhold billions in emergency funding for 42 million people who rely on the Supplemental Nutrition Assistance Program, or SNAP, amid a government shutdown.

But while the ruling does not order USDA to immediately tap into its roughly $6 billion contingency fund, a separate ruling from a federal judge in Rhode Island ordered the agency to continue the payments after a coalition of religious and advocacy groups sued.

Prior to both rulings, Agriculture Secretary Brooke Rollins defended USDA’s decision to not use the contingency fund during a Friday press conference at the U.S. Capitol with House Speaker Mike Johnson on day 31 of the government shutdown. 

“We are here today because SNAP benefits run dry tomorrow, so the truth has finally revealed itself, hasn’t it?” Rollins said. “Democrats’ support for programs like SNAP is now reduced to cynical control over people’s lives.”

It was not yet clear midday Friday how the two court rulings would be carried out by the administration.

The move to cut off SNAP would leave millions hungry, nearly 40% of them children, and is an effort by the Trump administration to put pressure on Senate Democrats to accept the House-passed GOP stopgap spending bill to fund the government until Nov. 21. 

Senate Democrats have held out demanding action on tax credits that will expire at the end of the year for people who buy their health insurance through the Affordable Care Act marketplace, hugely driving up costs. 

They have tried to spark negotiations, but Republicans have maintained that talks on health care subsidies will only begin after the government is funded. 

Flight delays, filibuster fate 

As the government shutdown continues, millions of federal workers are furloughed, or have continued to work without pay, including air traffic controllers. 

Flight delays and cancellations are starting to mount, with 3,739 delays within, into or out of the United States and 364 cancellations within the United States by midday Friday, according to the FlightAware delays tracker.

Another shutdown complication emerged when President Donald Trump, who has spent most of the week abroad in Asia meeting with foreign leaders over trade and tariff talks, Thursday night urged Republicans to eliminate the Senate filibuster, which requires a 60-vote threshold. 

“Get rid of the Filibuster, and get rid of it, NOW!” Trump wrote on his social media platform. Senate Republicans have been lukewarm on the idea, since Democrats then could do the same if they regain control of the chamber now held by the GOP with 53 seats.

Lacking 60 votes, the Senate has failed 13 times to pass the House-passed stopgap spending measure and left Capitol Hill Thursday night. Democrat Sen. Jacky Rosen from Nevada tried to keep the Senate in session, but was overruled by Republicans. 

Another critical deadline approaching Friday was pay for active duty military members. Vice President JD Vance said the Trump administration would shuffle funds to ensure pay, but did not detail those plans. According to Axios, the Defense Department pulled billions from several accounts to ensure the troops could be paid. 

Rollins defends USDA refusal to pay benefits

Congress failed to fund SNAP and nearly every other discretionary federal program for the 2026 fiscal year that began Oct. 1.

In order to receive SNAP benefits, a household’s gross monthly income must be at or below 130% of the federal poverty guidelines. A family of four would receive a SNAP maximum monthly allotment of $994, according to USDA.

Rollins sought to justify her agency’s refusal to shuffle the contingency funds to pay for SNAP, saying that money “is only allowed to flow if the underlying program is funded,” and “by law, a contingency fund can only flow when the underlying fund is flowing.” 

The Agriculture secretary said that “even if it could flow, it doesn’t even cover half of the month of November.” 

USDA said in a memo earlier in October that it would not tap into the contingency fund to keep the program afloat in November, despite its since-deleted Sept. 30 shutdown plan saying it would tap into this reserve. 

The memo said the contingency fund “is a source of funds for contingencies, such as the Disaster SNAP program, which provides food purchasing benefits for individuals in disaster areas, including natural disasters like hurricanes, tornadoes, and floods, that can come on quickly and without notice.” 

Democrats have objected. Friday’s decision from a federal judge in Boston stems from a lawsuit brought by 25 states and the District of Columbia against the Trump administration to force USDA to use the contingency fund. 

USDA secretary recounts conversation with waiter

At the Capitol press conference, Rollins also recalled a recent encounter she had at a Louisiana restaurant with a “wonderful” waiter named Joe, who she said took on that job after being furloughed as a federal government employee due to the shutdown. 

“He didn’t know who I was. And I said, ‘Well, Joe, I can appreciate that. You know, I’m sort of in that world as well.’ And I said, ‘Where do you work?’ And he said, ‘Well, I work for the U.S. Department of Agriculture in their New Orleans office as part of the financial team.'”

Rollins said that encounter “just really brought home for me … to echo what Mike (Johnson) said, just thanking so many thousands of federal workers who are showing up, who are still doing their job, who aren’t getting paid, those that are now concerned about putting food on the table and making their mortgages and paying their rent.” 

Rollins, along with the rest of the president’s Cabinet, is still getting paid.

Health premiums skyrocket

As open enrollment begins Saturday, those enrollees in the Affordable Care Act marketplace who currently receive a tax credit are likely to see their monthly premium payments more than double to about 114% on average, according to an analysis by KFF. 

For the last month, Democrats have warned of this, as the tax credits that help pay for individual health insurance are set to expire at the end of the year. 

The top Democrat on the House Energy and Commerce Committee, Rep. Frank Pallone of New Jersey, said in a statement that many families will see an increase in their premiums on Nov. 1.

“The sticker shock many families will face when they shop for health coverage is unacceptable, and it’s why Congress must act,” Pallone said.

The nonpartisan Congressional Budget Office estimated that if Congress does not extend the tax credits, insurers expect healthy, younger people to drop their marketplace coverage plans, which will lead to increased premium costs. 

Anxiety over WIC program

Meanwhile, USDA’s Special Supplemental Nutrition Program for Women, Infants, and Children, or WIC, a program separate from SNAP, got a $300 million infusion from the agency, using tariff revenue, to keep the program running through October. 

The program provides nearly 7 million women, infants and children with healthy foods, breastfeeding support, nutrition education and other resources. 

Advocates are calling on the administration to supply additional emergency funds for WIC. 

Led by the National WIC Association, more than three dozen national organizations signed on to an Oct. 24 letter to the White House urging the administration to provide an additional $300 million in emergency funding. 

Head Start affected

The consequences of the shutdown are also hitting Head Start — a federal program that provides early childhood education, nutritious meals, health screenings and other support services to low-income families and served more than 790,000 children in the 2023-2024 program year. 

The National Head Start Association estimates that 140 programs across 41 states and Puerto Rico serving more than 65,000 children will not receive their operational funding if the shutdown continues past Nov. 1 — a reality that appears certain.

Six of those programs serving more than 6,500 children did not receive this funding on Oct. 1 and have had to look to outside resources and local funds to keep their programs afloat. 

SNAP, WIC and Native communities 

American Indian and Alaska Native communities are also scrambling to fill the anticipated gaps in food security and assistance due to funding uncertainties for SNAP and WIC. 

Advocates and U.S. senators across the aisle say these funding uncertainties for the key federal nutrition programs are putting particular pressure on Native communities. 

At an Oct. 29 Senate Indian Affairs Committee hearing on the shutdown’s impacts on tribal communities, Minnesota Democratic Sen. Tina Smith said she is hearing from tribal nations in her state about people switching from SNAP to the Food Distribution Program on Indian Reservations, or FDPIR, a separate USDA initiative.

FDPIR is an alternative to SNAP and, per USDA, provides foods “to income-eligible households living on Indian reservations, and to American Indian households residing in approved areas near reservations and in Oklahoma.” 

Travelers move through Salt Lake International Airport in Salt Lake City on Thursday, Oct. 16, 2025. (Photo by Spenser Heaps for Utah News Dispatch)

This report has been updated.

WASHINGTON — The U.S. Senate Tuesday failed for the 13th time to advance a stopgap spending bill that would fund the government until Nov. 21 and end the nearly one-month government shutdown.

Tuesday was also the day when air traffic controllers, who are working without pay, missed their first full paychecks. The FlightAware delays tracker reported 7,404 delays within, into or out of the United States on Monday and 161 cancellations within the U.S. A temporary ground stop was issued at Los Angeles International Airport on Sunday morning due to staffing issues.

In the nation’s capital, the 54-45 vote was nearly identical to the previous 12 votes, as Republicans and Democrats stuck to their positions. The legislation needed at least 60 votes to advance, under the Senate’s legislative filibuster. 

Nevada Sen. Catherine Cortez Masto and Pennsylvania Sen. John Fetterman, both Democrats, and Maine independent Sen. Angus King voted with Republicans to advance the legislation. Kentucky GOP Sen. Rand Paul voted no.

Vance defends SNAP cutoff

Democrats are under increasing pressure to pass the House-passed GOP stopgap measure, with 42 million Americans at risk of losing food assistance for November, many federal workers beginning to miss their paychecks and one of the largest unions representing federal workers calling for an end to the government shutdown, now at day 28. 

Amid the government shutdown, the Trump administration has moved to lay off federal workers, and a federal judge is holding a Tuesday hearing to consider a preliminary injunction to block the mass Reductions in Force, or RIFs.

As President Donald Trump continues his overseas travel throughout Asia meeting with foreign leaders, Vice President JD Vance joined Senate Republicans during their Tuesday caucus lunch meeting. 

Vance defended USDA’s decision to not tap into its contingency fund provided by Congress to continue food assistance benefits amid a funding lapse.

“We’re exploring all options,” Vance said. 

Congress provided USDA with the multi-year contingency fund, which totals about $6 billion — short of the roughly $9 billion needed to cover a full month of SNAP benefits. USDA would have to reshuffle funds to provide November payments. 

“We are trying as much as possible to ensure that critical food benefits get paid,” Vance said. 

A coalition of Democratic state officials Tuesday sued the Trump administration and urged a federal judge to force the U.S. Department of Agriculture to release SNAP benefits for 42 million people.

Vance called on five Democrats to join Senate Republicans in approving a short-term funding bill.

“If the Democrats just opened up the government, then we wouldn’t have to play this game where … we’re trying to fit a square peg into a round hole with the budget,” Vance said. 

Democrats have continued to vote against the House’s GOP short-term spending bill to draw attention to and force negotiations on tax credits that will expire at the end of the year for people who buy their health insurance through the Affordable Care Act Marketplace. Republicans maintain the government must reopen before they begin any talks.

Votes possible on SNAP funding

Republicans are also weighing whether to pass a stand-alone bill by GOP Missouri Sen. Josh Hawley to approve funding for the Supplemental Nutrition Assistance Program, or SNAP. 

Ten Senate Republicans have joined to sponsor the bill, including Senate Appropriations Chairwoman Susan Collins of Maine. One Democratic senator also cosponsored the bill, Sen. Peter Welch of Vermont. 

Senate Majority Leader Chuck Schumer said that Democrats would also introduce their own separate bill to provide funding for not only SNAP, but for the Special Supplemental Nutrition Program for Women, Infants, and Children, or WIC.

During a Tuesday press conference, Senate Majority Leader John Thune, R-S.D., did not seem receptive to scheduling a Senate vote on a stand-alone bill to address SNAP. 

“I mean, this piecemeal approach where you do one off here, one off there, to make it seem more politically palatable to somebody…that is just a wrong way to do this,” Thune said. 

Instead, he argued that Democrats should just support the stopgap spending bill. 

Another critical deadline is approaching. Active-duty military members will miss their paychecks by Friday if the government is still in a funding lapse. The Trump administration already reprogrammed $8 billion earlier this month from multi-year research funds from the Defense Department in order to pay the troops. 

However, Vance said the Trump administration expects to be able to pay troops this Friday, although the vice president didn’t detail where those funds would come from.

Before Tuesday morning’s vote, Thune said Democrats should listen to calls for an end to the shutdown from the American Federation of Government Employees, or AFGE, labor union, which typically aligns with Democrats. 

House Speaker Mike Johnson, a Louisiana Republican, also cited the call from AFGE, telling Democrats “you have an off-ramp,” during a Tuesday press conference.

“The largest unions are saying, ‘Please do this,’” Johnson said. “You can claim that as cover and say that you had to do it.”

Last week, there were dueling bills from both parties related to paying federal workers amid the shutdown, but those efforts failed to meet the 60-vote threshold to move forward.

The end of the 2019 government shutdown, which lasted 35 days, was in part due to shortages of air traffic controllers that upended air travel across the country and forced lawmakers to strike a deal. 

Schumer critical of administration shutdown decisions

During a Tuesday press conference, Schumer slammed the Trump administration for refusing to tap into its contingency fund for SNAP.

“The money is there,” the New York Democrat said. “The hungry people, the hungry children, the hungry veterans, the hungry elderly, could be fed, but Trump’s using them as hostages.”

Of the 42 million people on SNAP, roughly 40% are children 17 and younger. 

He also criticized Trump for traveling abroad and for his administration’s priority to demolish the East Wing of the White House for a ballroom. 

“His number one priority is his ballroom,” Schumer said. “When people are suffering, what kind of president is this?” 

Sen. Ron Johnson, R-Wis., talks to a reporter in the basement of the U.S. Capitol on Thursday, Oct. 23, 2025. (Photo by Ashley Murray/States Newsroom)

WASHINGTON — The Senate Thursday failed to advance a Republican measure and rejected unanimous agreements on two related bills from Democrats that would have paid federal employees and contractors who have continued to work amid the government shutdown, which entered day 23. 

The stalemate constituted the latest example of how dug in to their arguments both parties are as the shutdown that began Oct. 1 drags out, as well as the heightened political tensions in the upper chamber when it comes to striking a deal to resume government funding.  

Most federal employees will miss their first full paycheck on Friday or early next week. More than 42 million Americans, some 40% under the age of 17, are also at risk of delayed food assistance if Congress doesn’t address a funding shortfall expected by Nov. 1 in the Supplemental Nutrition Assistance Program, or SNAP. 

Senate Democrats Wednesday sent a letter to U.S. Department of Agriculture Secretary Brooke Rollins over concerns that the agency has warned states to hold off on processing SNAP benefits. They contended the agency has the resources to keep payments flowing.

“We were deeply disturbed to hear that the USDA has instructed states to stop processing SNAP benefits for November and were surprised by your recent comments that the program will ‘run out of money in two weeks,’” according to the letter. “In fact, the USDA has several tools available which would enable SNAP benefits to be paid through or close to the end of November.”

Sen. Josh Hawley, R-Mo., introduced a bill Wednesday to continue SNAP funding through the shutdown. During Thursday’s briefing, White House press secretary Karoline Leavitt said the administration would “absolutely support” the legislation.

Deadlock on federal worker pay

In the Senate, a measure from Wisconsin GOP Sen. Ron Johnson on a 54-45 vote did not reach the 60-vote threshold needed to advance in the chamber. Its failure means that federal employees who have continued to work will not be paid until the shutdown ends.

Democratic senators who agreed to the measure included Pennsylvania’s John Fetterman and Georgia’s Jon Ossoff and Raphael Warnock. Senate Majority Leader John Thune of South Dakota changed his vote in order to reconsider the measure. 

“I don’t think it makes sense to hold these federal workers hostage,” Warnock told States Newsroom in an interview on his vote Thursday. “If I could have a path to give some of these folks relief while fighting for health care, that’s what I decided to do.”

A separate measure from Maryland Democratic Sen. Chris Van Hollen also failed to move forward after Johnson objected. Van Hollen requested unanimous consent to approve his bill that would have also protected federal workers from mass Reductions in Force, or RIFs, that President Donald Trump has attempted during the shutdown. 

A second Democratic bill, from Sen. Gary Peters, D-Mich., was narrower, only including pay for federal workers. But when he requested unanimous approval for his measure, it was also blocked by Johnson.

Senators then left Capitol Hill for the weekend. On Wednesday, the Senate took a failed 12th vote to provide the federal government and its services with flat funding through Nov. 21.

Senate Republicans have pressed Senate Democrats to approve the GOP-written stopgap measure. But Democrats have maintained that they will not support the House measure because it does not extend tax credits that will expire at the end of the year for people who buy their health insurance through the Affordable Care Act Marketplace.

Layoffs cited by Van Hollen

Van Hollen argued his bill would protect workers from the president’s targeting of certain federal agencies and programs.

“We certainly shouldn’t set up a system where the president of the United States gets to decide what agencies to shut down, what they can open, who to pay and who not to pay, who to punish and who not to punish,” Van Hollen said on the Senate floor before asking for unanimous consent to move the bill forward.

Johnson objected to including Van Hollen’s provision to ban federal worker layoffs during a shutdown. President Donald Trump’s efforts to lay off thousands of federal workers during the shutdown have been on hold since last week, after a federal judge issued a temporary restraining order that was later expanded.  

However, Johnson said he was willing to add into his own bill the provision from Van Hollen to pay furloughed workers.

“I’m more than happy to sit down with you. Maybe we should do that later today,” Van Hollen told Johnson during their debate on the floor.

Shortly after, Peters introduced a near-mirror version of Van Hollen’s bill, except that his measure would not prohibit layoffs — essentially what Johnson told Van Hollen he would agree to.

“We all say we agree on this, so let’s just pass this bill now,” the Michigan Democrat said before asking for unanimous consent to advance the legislation.

Johnson also objected to that proposal.

“It only solves a problem temporarily. We’re going to be right back in the same position,” Johnson said in an interview with States Newsroom about why he rejected Peters’ proposal.  

Johnson said he talked with Peters and Van Hollen after the vote and “we’ll be talking beyond this.”

‘Waste of time’ for House to meet

Even if the Senate passed the bill sponsored by Johnson or Van Hollen, it’s unlikely the House, which has been in recess since last month, would return to vote on either measure.

At a Thursday morning press conference, House Speaker Mike Johnson argued that Republicans already passed a stopgap measure to pay federal workers and that Senate Democrats should support that legislation. 

Johnson said bringing back the House would be a “waste of time,” noting that Democrats would not vote on the Republican proposal. 

“If I brought everybody back right now and we voted on a measure to do this, to pay essential workers, it would be spiked in the Senate,” said the Louisiana Republican. “So it would be a waste of our time.”

Duffy warns of flight delays due to shutdown

Transportation Secretary Sean Duffy joined Johnson and House Republicans during their press conference. 

He said that flight delays have increased due to staffing shortages.

More than 50,000 TSA agents and more than 13,000 air traffic controllers have continued to work without pay during the government shutdown. 

“They’re angry,” Duffy said of air traffic controllers. “I’ve gone to a number of different towers over the course of the last week to 10 days. They’re frustrated.”

Next Tuesday, air traffic controllers will not receive their full paycheck for their work in October, Duffy said.

He added that the agency is already short-staffed — by up to 3,000 air traffic controllers.

“When we have lower staffing, what happens is, you’ll see delays or cancellations,” Duffy said. 

The FlightAware tracker said there were 2,132 delays within, into or out of the United States of unspecified length reported by Thursday afternoon, compared to 4,175 on Wednesday, 3,846 on Tuesday and 6,792 on Monday.

A shortage of air traffic controllers helped play a role in ending the 2019 government shutdown, which lasted 35 days, after thousands of commercial flights were ground to a halt.