Senate Fails to Advance ACA Subsidy Bills in Dual 51-48 Votes, Leaving Premiums to Rise

The Senate voted 51-48 on two competing healthcare bills — both failing to reach the 60-vote cloture threshold. The Democratic plan for a 3-year ACA enhanced subsidy extension garnered support from Republicans Susan Collins, Josh Hawley, Lisa Murkowski, and Dan Sullivan but fell short. A Republican alternative expanding health savings accounts failed when Rand Paul opposed it. ACA enhanced subsidies were set to expire December 31, 2025, threatening premium hikes for ~20 million enrollees.