The Senate on Thursday rejected a Republican healthcare proposal in a 51–48 vote, falling well short of the 60 votes needed to advance.
Senator Rand Paul was the only Republican to join Democrats in opposing the measure.
Cassidy–Crapo Proposal Falls Short
The bill, introduced by Senators Bill Cassidy of Louisiana and Mike Crapo of Idaho, aimed to let enhanced Obamacare tax subsidies expire and redirect that funding into expanded health savings accounts. The plan reflected former President Donald Trump’s push to send federal assistance directly to consumers instead of insurance companies.
Democrats Also Fail to Push Through Alternate Bill
A separate healthcare measure backed by Senate Majority Leader Chuck Schumer failed earlier in the day, leaving Congress without a compromise as key Affordable Care Act subsidies are set to expire at the end of 2025.
Rising Premiums Still Unaddressed
As The Hill reported, the GOP plan was designed to help ACA marketplace customers manage out-of-pocket costs. However, with unanimous Democratic opposition and Paul breaking ranks, the bill stalled. Analysts at KFF noted the proposal would convert enhanced premium tax credits into federal contributions to health savings accounts.
After both proposals failed, Schumer said Republicans would now have to face the consequences for rejecting Democratic efforts to address projected premium increases.
🚨Sen. Chuck Schumer after Senate shoots down Democratic health care bill: "Democrats did the work, but now Republicans chose the consequences."
— Off The Press (@OffThePress1) December 11, 2025
📹: C-SPAN pic.twitter.com/dbSAYySzki
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