Lawmakers block GOP and Democratic health care plans ahead of Obamacare price surge

Republicans Murkowski, Collins, Sullivan, and Hawley broke ranks to back an ACA subsidy extension by Dems, but the bill still fell short of advancing
Senate rejected rival health care subsidy proposals as lawmakers failed to reach 60 votes, leaving millions facing steep premium hikes (Getty Images)
Senate rejected rival health care subsidy proposals as lawmakers failed to reach 60 votes, leaving millions facing steep premium hikes (Getty Images)

WASHINGTON, DC: The Senate on Thursday, December 11, rejected two competing proposals to address expiring 'Affordable Care Act' subsidies, leaving lawmakers without a path forward just weeks before premiums are expected to rise significantly for millions of Americans.

Senators voted down a Republican plan to shift funding into expanded health savings accounts and a Democratic plan to extend COVID-era insurance subsidies for three years.

Both measures fell short of the 60 votes needed to advance. The setback comes as the December 31 expiration date approaches, with no bipartisan compromise in sight. 

WASHINGTON, DC - JUNE 18: Senate Majority Leader Chuck Schumer (D-NY) speaks during a news conference on reproductive rights at the U.S. Capitol Building on June 18, 2024 in Washington, DC. Senate Democrats held the news conference to mark two years since the U.S. Supreme Court's Dobbs v. Jackson Women's Health Organization ruling. (Photo by Anna Moneymaker/Getty Images)
Senate Majority Leader Chuck Schumer (D-NY) speaks during a news conference on reproductive rights at the US Capitol Building on June 18, 2024, in Washington, DC (Anna Moneymaker/Getty Images)

Senate blocks both parties' proposals 

In back-to-back votes, senators rejected the Republican plan from Senator Bill Cassidy of Louisiana and Mike Crapo of Idaho, as well as a Democratic proposal introduced by Senate Majority Leader Chuck Schumer. Both failed 51-48, largely along party lines. 

The Cassidy-Crapo bill sought to replace the expiring tax credits with pre-funded health savings accounts and provide up to $1,500 for eligible individuals.

Democrats opposed the measure, citing restrictions including limits related to abortion, gender-affirming care, and immigration status. Ahead of the vote, Schumer called the GOP proposal "junk insurance." 

WASHINGTON, DC - SEPTEMBER 26: (L to R) Lindsey Graham (R-SC), Bill Cassidy (R-LA) and Majority Lead
After the Senate policy luncheons, Senate Majority Leader Mitch McConnell, with his leadership, and Senators Lindsey Graham (R-SC) and Bill Cassidy (R-LA), the authors of the Graham-Cassidy Bill, announced to journalists that the bill would not be voted on because there aren't enough votes for passage (Getty Images)

Four Republicans, Lisa Murkowski, Susan Collins, Dan Sullivan and Josh Hawley, joined Democrats in supporting debate on the Democratic bill extending Affordable Care Act subsidies for three years.

No Democrats backed the GOP plan. 

Schumer warned the lapse would have "millions and millions lose their health care coverage altogether."

WASHINGTON, DC - OCTOBER 14: U.S. Sen. Mike Crapo (R-ID) questions Supreme Court nominee Judge Amy C
Sen Mike Crapo (R-ID) questions Supreme Court nominee Judge Amy Coney Barrett as she testifies before the Senate Judiciary Committee on the third day of her Supreme Court confirmation hearing on Capitol Hill on October 14, 2020, in Washington, DC (Sarah Silbiger-Pool/Getty Images) 

"Tens of millions more will have much worse coverage and have to switch their plans, switch doctors, pay higher deductibles, higher copayments, not even be able to get the cures and the drugs they need," he said.

Insurance companies have begun notifying customers about a projected increase in January if Congress fails to act. "There’s a crisis, a huge crisis that will hit us January 1," Schumer said. 

WASHINGTON, DC - JUNE 5: Senate Majority Leader Chuck Schumer (D-NY) looks on during a news conference following a vote on the Right to Contraception Act at the U.S. Capitol on June 5, 2024 in Washington, DC. Senate Democrats, seeking to put reproductive rights at center stage heading into November's election, held a vote to move forward with legislation to codify the right to contraception access nationwide it was blocked by all present Senate Republicans, except Sen. Lisa Murkowski (R-AK) and Sen. Susan Collins (R-ME). (Photo by Kent Nishimura/Getty Images)
Chuck Schumer (D-NY) looks on during a news conference following a vote on the Right to Contraception Act at the US Capitol on June 5, 2024, in Washington, DC (Kent Nishimura/Getty Images)

Premium deadline intensifies pressure on Congress

The expected hike in premiums has raised concerns among lawmakers from both parties, particularly with midterm elections approaching.

Republicans control both chambers and the White House, putting pressure on them to deliver a solution as voters report rising costs as a top concern. 

MIAMI, FLORIDA - JANUARY 28: An Obamacare sign is seen outside of the Leading Insurance Agency, whic
An Obamacare sign is seen outside of the Leading Insurance Agency, which offers plans under the Affordable Care Act (also known as Obamacare) on January 28, 2021, in Miami, Florida (Joe Raedle/Getty Images)

Republicans argue that their proposal would help families manage out-of-pocket expenses, but even with the $1,500 credit, patients on low-premium plans could still face thousands before coverage begins.

Democrats have pushed for a clean extension of subsidies, citing the limited time before Congress recesses next week.

CHARLOTTE, NC - SEPTEMBER 24:   US President Donald Trump makes his way off stage after signing an e
President Donald Trump makes his way off stage after signing an executive order following his remarks on his healthcare policies on September 24, 2020, in Charlotte, North Carolina (Brian Blanco/Getty Images) 

In the House, every Democrat has signed a discharge petition to force a vote on extending the subsidies. A bipartisan effort led by Rep Brian Fitzpatrick seeks to extend them through 2027, though GOP leadership has not endorsed any plan. 

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