The Senate failed to advance a Republican healthcare plan in a 51-48 vote on Thursday.
GOP Senator Rand Paul voted with the Democrats.
Senators Bill Cassidy (LA) and Mike Crapo (ID) introduced the bill that would allow Obamacare tax subsidies to expire and expand health savings accounts.
The legislation needed 60 votes to advance.
A separate, Schumer-backed healthcare bill also failed to pass the Senate on Thursday.
Obamacare’s enhanced premium tax credit will expire at the end of 2025.
The Hill reported:
A Republican-drafted proposal to set up health savings accounts for people who buy their health insurance on the Affordable Care Act (ACA) marketplace failed to advance on a largely party-line vote on Thursday, leaving Congress no closer to addressing the substantial rise in health care premiums in 2026.
The legislation, which needed 60 votes to advance, failed by a vote of 51 to 48.
Every Democrat voted against it. Sen. Rand Paul (Ky.) was the only Republican to vote “no.”
The plan, drafted by Senate Health, Education, Labor and Pensions Committee Chair Bill Cassidy (R-La.) and Senate Finance Committee Chair Mike Crapo (R-Idaho), follows President Trump’s exhortations to redirect federal subsidies that have gone to insurance companies to instead go directly to people.
The Cassidy-Crapo plan would convert the value of funding for enhanced premium tax credits under the ACA into federal contributions to health savings accounts (HSAs) to defray out-of-pocket health care costs, according to an analysis by KFF, a health policy research group.
“Democrats did the work, but now Republicans chose the consequences,” Schumer said after the dueling healthcare plans failed to pass the Senate.
Sen. Chuck Schumer after Senate shoots down Democratic health care bill: “Democrats did the work, but now Republicans chose the consequences.”
: C-SPAN pic.twitter.com/dbSAYySzki
— Off The Press (@OffThePress1) December 11, 2025
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