参议员们以 51 票赞成、48 票反对的结果，就推进一项共和党医疗保健计划进行表决 —— 该计划原本 拟扩大健康储蓄账户的覆盖范围，以此替代即将到期的税收抵免。民主党提出的 "将补贴延长三年" 的 计划，同样以 51 票赞成、48 票反对的结果表决。两项提案均远未达到突破关键程序性障碍所需的 60 票支持门槛。 这两轮投票基本遵循党派划线，但并非完全一致。肯塔基州共和党参议员兰德・保罗（Rand Paul）是 唯一反对共和党自身提案的共和党议员；与此同时，缅因州共和党参议员苏珊・科林斯（Susan Collins）、密苏里州共和党参议员乔希・霍利（Josh Hawley）、阿拉斯加州共和党参议员莉萨・穆尔 科斯基（Lisa Murkowski）及丹・沙利文（Dan Sullivan）投票支持了民主党的医疗保健计划。 美国参议院周四否决了两项针锋相对的医疗保健法案，这几乎意味着超过 2000 万美国人正在享受的奥 巴马医改（Obamacare）补贴将在年底到期失效。 "我希望今天之后，他们能觉得已经完成了'立场表态'这一流程，然后认真对待奥巴马医改框架下医疗 成本飙升的问题，" 图恩在投票前表示，"共和党已准备 ...

Core Points - The U.S. Senate passed a procedural motion to end the longest government shutdown in history with a vote of 60 to 40, paving the way for a temporary funding agreement [1] - The agreement includes full funding for the Department of Agriculture, the Department of Veterans Affairs, and Congress until the end of the fiscal year, while other federal agencies will receive funding to operate until January 30, 2026 [1] - The agreement aims to restore pay for furloughed federal employees and resume federal funding for state and local governments [1] Group 1 - The Senate requires unanimous consent from all members to expedite the process, and any opposition could delay the vote by several days [1] - House Speaker Mike Johnson has informed members to prepare for a vote within 36 hours [1] - President Trump expressed optimism about nearing an end to the shutdown [1] Group 2 - Some Democratic senators supported the agreement due to provisions preventing federal layoffs until January 30 [2] - The House's voting outcome remains uncertain, as Democratic leaders oppose any agreement lacking an extension of the Affordable Care Act subsidies [2][3] - The current agreement does not meet the core demands of Democratic leaders, who seek to extend expiring ACA subsidies and repeal cuts to Medicaid [3] Group 3 - The ongoing government shutdown has lasted for 40 days, marking a record in U.S. history, with previous attempts to leverage shutdowns for policy gains failing [3][4] - The Democratic Party has rejected a no-strings-attached temporary spending bill that could have kept the government running until November 21 [4] - The White House has pressured Congress, threatening mass layoffs and withholding pay for over 600,000 furloughed federal workers [4] Group 4 - The likelihood of reaching an agreement on extending ACA subsidies before the December deadline remains unclear, with House Republicans opposing the extension [5] - The political standoff has resulted in an estimated economic loss of approximately $15 billion per week, with a projected 1.5 percentage point decline in GDP growth rate due to the shutdown [5] - The funding bill includes provisions favored by Democrats, such as rejecting cuts to international food aid and increasing security funding for Congress [5]