WASHINGTON — More than 32,000 Department of Health and Human Services employees are set to be furloughed, Centers for Disease Control and Prevention communications will be impeded, and no new patients will be admitted to the National Institutes of Health’s clinical center as the federal government’s funding runs out.

The shutdown began early Wednesday morning after Senate Democrats and Republicans failed to cut a deal on a temporary spending package that would have funded the government until the end of November. Senate Democrats refused to back the funding bill without an extension to Affordable Care Act subsidies and a restoration of cut Medicaid funds.

The White House has threatened to fire federal workers, in addition to furloughs, in the event of a shutdown, but a memo from the

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