Senate rejects extension of health care subsidies as costs are set to rise for millions of Americans

Senate Majority Leader John Thune, R-S.D., joined at left by Sen. John Barrasso, R-Wyo., speaks to reporters after a closed-door meeting with fellow Republicans, at the Capitol in Washington, Tuesday, Dec. 9, 2025. (AP Photo/J. Scott Applewhite)

This story was updated on Thursday, Dec. 11 at 3:24 p.m.

WASHINGTON (AP) — The Senate on Thursday rejected legislation to extend Affordable Care Act tax credits, essentially guaranteeing that millions of Americans will see a steep rise in costs at the beginning of the year.

Senators rejected a Democratic bill to extend the subsidies for three years and a Republican alternative that would have created new health savings accounts — an unceremonious end to a monthslong effort by Democrats to prevent the COVID-19-era subsidies from expiring on Jan. 1.