Democrats demand health care changes to vote to keep government open

House Republicans are working to pass a spending bill before the September 30 deadline, but disagreements with Democrats over health care provisions could lead to a government shutdown.

House Republicans are working to pass a spending bill before the September 30 deadline, but disagreements with Democrats over health care provisions could lead to a government shutdown. WASHINGTON —

House Republicans are racing to finalize a short-term spending bill to prevent a government shutdown, with Democrats concerned about health care provisions potentially leading to increased costs for millions of Americans.

The bill aims to keep federal agencies funded through Nov. 21, but Democrats want it to include extensions of subsidies for low- and middle-income individuals purchasing health insur