On Thursday (December 11), the Republican-controlled Senate voted against health care bills from both parties , setting the stage for significant premium hikes for millions of Americans. The failure to pass either bill means that enhanced subsidies under the Affordable Care Act (ACA), implemented in 2021, are likely to expire at the end of the year. This could result in premiums doubling on average for approximately 22 million Americans who currently benefit from these subsidies.

The Republican proposal, led by Senate Finance Chair Mike Crapo and Senate Health, Education, Labor, and Pensions Chair Bill Cassidy , aimed to replace ACA tax credits with health savings accounts (HSAs). The plan would allow individuals with "bronze" or "catastrophic" plans to receive up to $1,500 annual

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