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US Senate Faces Uncertainty on Health Care Cost Measures Ahead of Deadline

Lawmakers face a fast-approaching deadline to extend ACA subsidies or risk a 114% average premium increase for subsidized enrollees, amid disputes over abortion funding and bipartisan support.

  • Senate Democrats plan to introduce a bill to extend enhanced ACA marketplace tax credits as Republicans remain divided and unwilling to negotiate before the December 31 deadline.
  • Republican senators are split over Hyde Amendment guardrails to block abortion funding, while some favor directing federal funds into health savings accounts instead of extending subsidies.
  • KFF analysis shows ACA marketplace plans will rise 26% next year, and subsidized enrollees face 114% higher payments without extended credits before open enrollment ends Dec. 15.
  • Senate leaders say they will hold a vote next week on health care, but GOP leaders concede proposed measures likely lack the 60 votes to overcome the Senate filibuster.
  • With the December 31 deadline looming, some senators say President Donald Trump must push Republicans to 'Make a deal,' as solutions could come in December or January after open enrollment ends on Dec. 15.
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TFD broke the news in on Friday, November 28, 2025.
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