Senate poised to reject extension of health care subsidies as costs rise for many

WASHINGTON — The Senate is poised on Thursday to reject legislation to extend Affordable Care Act tax credits for millions of Americans, a potentially unceremonious end to a monthslong Democratic effort to prevent the COVID-era subsidies from expiring on Jan. 1.

Despite a bipartisan desire to continue the credits, Republicans and Democrats have never engaged in meaningful or high-level negotiations on a solution. Instead, the Senate is expected to vote on two partisan bills and defeat them both — essentially guaranteeing that many who buy their health insurance on the ACA marketplaces see a steep rise in costs at the beginning of the year.

“It’s too complicated and too difficult to get done in the limited time that we have left,” said Sen. Thom Tillis of North Carolina, who has unsuccess