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House Takes Up GOP Funding Patch as ACA Subsidy Standoff Raises Shutdown Risk

Senate Democrats insist on extending ACA subsidies now, leveraging the 60-vote threshold to block a clean stopgap.

Overview

  • The House is set to vote on a continuing resolution to fund the government through Nov. 21 that excludes an extension of enhanced Affordable Care Act premium tax credits.
  • Democratic leaders unveiled a competing short-term bill that would extend the subsidies and roll back recent Medicaid cuts, with added security money for Congress and the federal courts.
  • Senate leaders signaled they will hold votes on both measures if the House passes the GOP bill, though neither is expected to reach the 60 votes needed to advance.
  • Democrats cite warnings from the Congressional Budget Office that delays could boost premiums and reduce coverage by up to about 2 million people in 2026, with open enrollment beginning Nov. 1.
  • President Donald Trump urged House Republicans to unify behind the GOP plan as both parties brace for potential blame if funding lapses on Oct. 1.