Moderate Democrats also moved against the package. The New Democrat Coalition announced an official position opposing the Senate bill after a membership vote. Chair Brad Schneider said: “New Dems were clear from the very beginning: Any bipartisan deal to open the government must necessarily address the Republican-created health care crisis and prevent out-of-pocket health care costs from skyrocketing for tens of millions of Americans.”

Health care is at the core of the dispute. Democrats want to reverse Medicaid cuts included in President Donald Trump’s One Big Beautiful Bill Act and extend ACA tax subsidies set to expire at the end of 2025. They cite projections that the Medicaid changes could lead to major coverage losses and that premiums could rise sharply without the subsidies.

Republicans have said that the Medicaid provisions target waste, fraud, and abuse and that Democrats’ demands go too far. Trump and allies have said the changes prevent benefits from going to people who should not receive them.

“We’ll never agree to give any substantial money, or any money to, really, prisoners, illegals, to come into our country, and I think the Democrats understand that,” Trump told reporters as the deal took shape.

GOP leaders have been more open to considering an ACA subsidy extension later, but only after reopening the government. As part of the Senate agreement, Republican leaders promised a December vote on the subsidies. Supporters say such a measure could draw enough Republican backing in the Senate; it is unclear whether the House will take it up.

Jeffries said Democrats want a concrete extension, not only a promise of a vote. He tied the push to broader costs facing families. The House is expected to take up the Senate bill Wednesday, Nov. 12. Jeffries said Democrats will review the text when it arrives but reiterated their stance of wanting ACA credits taken up now.

Joseph Lord contributed to this report.

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