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( NewsNation ) — Tens of millions of Americans are bracing for health care hikes as a potential end to the government shutdown grows nearer, with no extension for Affordable Care Act tax credits in sight.

Senate Republicans and a handful of Democrats have approved a bill that would reopen the federal government. The deal, which could head to a House vote as soon as Wednesday, only guarantees a December vote on the health care tax credits.

Those subsidies are the issue at the center of the longest-ever government shutdown, and Senate Democrats voted against a deal 14 times in an effort to extend them.

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