As a deadline approaches for renewing enhanced Affordable Care Act tax credits, the Senate is preparing to vote on two competing proposals—one from Democrats and one from Republicans —that will shape health care costs for millions next year.

Senate Majority Leader John Thune said both plans will be put to a vote on Thursday, following a historic government shutdown sparked by a stalemate over health care costs.

The two proposals take very different approaches: Democrats want to extend the enhanced premium tax credits for three years, while Republicans want to replace much of that support with one-time Health Savings Account deposits and other changes to insurance options.

Democrats

Democrats want to preserve the enhanced subsidies first introduced during the pandemic. These l

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