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Democrats Draw Line on Health Care in Funding Fight, Risking Shutdown

Democratic leaders vow to block any GOP stopgap unless it extends ACA subsidies plus reverses Medicaid cuts.

Overview

  • Senate rules require 60 votes for most funding bills, giving Democrats the power to stall a partisan continuing resolution.
  • Republicans are preparing short-term funding measures with few policy add-ons, and President Trump is urging them to proceed without Democrats.
  • KFF estimates roughly 22 million ACA marketplace enrollees would face steep premium increases if enhanced tax credits expire at the end of 2025.
  • The Congressional Budget Office projects Medicaid changes in the One Big Beautiful Bill would increase the number of uninsured by about 10 million over a decade.
  • Some centrist Democrats warn against forcing a shutdown even as party leaders consolidate around demands to secure health-care protections in any deal.