NEW YORK (AP) — As the U.S. Senate gears up for critical votes on competing health care bills on Thursday, it will address the expiring COVID-era subsidies that could lead to increased insurance costs for millions of Americans in the new year.

The impending expiration of these subsidies poses a significant problem with only three weeks remaining before they run out, leaving many enrollees of the Affordable Care Act facing a potential premium increase of over 114%.

Concerns regarding the rising costs of health care are becoming increasingly vital as voters head into the midterm elections, illustrating the high stakes involved in this debate.

The proposals currently on the table represent contrasting approaches to handling the issue: one from Senate Democrats aiming for an extension of the subsidies, while Republican senators propose a plan that favors health savings accounts instead.

The Stakes of Rising Premiums

The Affordable Care Act currently supports over 24 million people, including farmers and small business owners who lack other health insurance options. The enhanced subsidies introduced during the pandemic significantly lowered costs, providing health care for some individuals at no premium cost and capped expenses for others.

Should the subsidies expire on January 1, these affordable health options would disappear, impacting millions of Americans who may be forced to either pay significantly higher premiums or drop their coverage altogether.

Democratic vs. Republican Approaches

Democrats advocate for an extension of the enhanced subsidies that would provide short-term relief to consumers, while Republicans propose to replace these subsidies with health savings accounts that could lead to significant burdens for low-income families.

With the elections approaching, lawmakers’ concerns about voters’ financial anxieties are mounting; both parties need to navigate this issue delicately to avoid backlash.

Political Backlash and Future Implications

The votes on Thursday are expected to be contentious, reflecting divisions within Congress as both parties prepare for the inevitable political fallout. As concerns over affordability grow, both sides must reconcile their approaches to address the health care crisis among the American populace.