Senate GOP health care plan fails on mostly party-line vote

Source: The Hill

12/11/25 12:31 PM ET


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.

Read more: https://thehill.com/homenews/senate/5644280-senate-gop-health-care-plan-cassidy-crapo/