Overview
- Congress ended the 43‑day shutdown after a 60–40 Senate vote with eight Democratic defections and a 222–209 House vote with six Democrats joining Republicans, and President Donald Trump signed the bill.
- The measure funds most government operations through Jan. 30, provides full‑year funding for some agencies, reverses shutdown‑era firings, and guarantees back pay for affected federal workers.
- Senate Republican leaders pledged a mid‑December vote on extending the enhanced ACA premium tax credits, but House leaders have offered no commitment to take up any Senate bill.
- Republicans have signaled they want changes such as income caps, reduced subsidy levels and stricter abortion‑related language, while Trump criticized the ACA and floated directing money to consumers rather than insurers.
- Analysts project sharp premium increases and millions losing coverage if the subsidies lapse, with hospitals warning of lost revenue and higher uncompensated care without swift congressional action.