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Obamacare Costs Look Set to Spike for Millions of Americans as Senate Rejects Duelling Bills

Congress faces a critical vote on competing bills to extend ACA premium tax credits and prevent an average 114% increase in premiums for 22 million subsidized enrollees, analysts say.

  • On Thursday, the U.S. Senate is expected to reject legislation extending Affordable Care Act tax credits for 22 million Americans, then vote on a Republican alternative after the Democratic plan fails.
  • With the subsidies set to expire Jan. 1, the enhanced premium tax credits issue returns after the record 43-day government shutdown earlier this year, prompting Senate Majority Leader John Thune, R-S.D., to pledge action.
  • Amid competing bills, Sen. Susan Collins, R-Maine, and Sen. Bernie Moreno, R-Ohio, propose a `two-year glidepath` to phase out ACA tax credits, while other GOP measures include Medicaid cuts.
  • If lawmakers fail to agree, some 22 million Americans could face premium increases and it seemed unlikely the proposals would receive the 60 votes needed in the Senate to advance.
  • With a Dec. 15 enrollment deadline, ACA Marketplace enrollees must sign up to start coverage in 2026, while KFF found about 10% in Rep. Shomari Figures, D-Ala.'s district rely on these plans, raising stakes for 2026 midterm elections.
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On Thursday, the US Senate rejected two competing bills to prevent millions of Americans from facing an explosion in the costs of their health insurance, just a few weeks from the expiration of significant subsidies.

·Montreal, Canada
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Real Clear Politics broke the news in Chicago, United States on Wednesday, December 10, 2025.
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