美众院共和党人提出短期支出议案避免政府关门，但无视民主党的医保要求

Core Points - The U.S. House Republicans introduced a temporary spending bill to prevent a government shutdown on October 1, but it does not include healthcare policy demands from Democrats, setting the stage for intense bipartisan conflict [1] - The short-term bill will fund federal government operations until November 21 and allocates a total of $88 million for security measures following the recent attack on conservative activist Charlie Kirk [1][2] - Democrats have threatened to withhold support unless the bill includes extensions for Affordable Care Act (ACA) subsidies, which are set to expire at the end of the year, potentially leading to significant premium increases for millions of insured individuals [1][4] Spending Bill Details and Security Funding - The bill provides funding at current levels for seven weeks, extending until November 21, with $30 million for local police reimbursements, $30 million for executive branch security, and $28 million for judicial security [2] - It includes a provision allowing Washington D.C. to use its own tax revenue, addressing a previous funding gap of $1 billion [2] - House Speaker Mike Johnson emphasized the need for responsible choices to keep the government open and to reach an agreement on the full-year spending bill [2] Internal Republican Resistance - Prior to the bill's introduction, four Republican representatives expressed opposition, with some demanding spending cuts before supporting any temporary measures [2][3] - Notable dissenters include Thomas Massie from Kentucky and Victoria Spartz from Indiana, who indicated they would vote against the bill if the new deadline coincides with major holidays [2] Democratic Healthcare Demands - Democratic leaders have made it clear they will not support any bill that does not lower healthcare costs, insisting on extending ACA subsidies and reversing cuts to Medicaid from the Trump tax law [4][5] - Senate Minority Leader Chuck Schumer warned that while the House may pass the bill along party lines, it requires 60 votes in the Senate to advance [4] Time Pressure on Healthcare Subsidies - Congress faces a deadline to decide on expanding ACA subsidies, as insurance companies are finalizing rates for next year's plans, with expected premium increases due to the impending expiration of federal subsidies [6] - Consumers can begin purchasing insurance for 2026 starting November 1, and many may be shocked by the higher premiums if no agreement is reached [6] - Senator John Thune expressed willingness to discuss maintaining enhanced ACA subsidies but indicated that more time is needed to finalize details [6]