President Donald Trump signed a government funding bill Wednesday night, ending a record 43-day shutdown that caused financial stress for federal workers who went without paychecks, stranded scores of travelers at airports and generated long lines at some food banks.

The signing ceremony came just hours after the House passed the measure on a mostly party-line vote of 222-209. The Senate had already passed the measure Monday.

The shutdown magnified partisan divisions in Washington as Trump took unprecedented unilateral actions — including canceling projects and trying to fire federal workers — to pressure Democrats into relenting on their demands.

Democrats wanted to extend an enhanced tax credit expiring at the end of the year that lowers the cost of health coverage obtained through Affordable Care Act marketplaces. They refused to go along with a short-term spending bill that did not include that priority. But Republicans said that was a separate policy fight to be held at another time.

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Medicare telehealth waivers that allow millions of older adults to get virtual health care without leaving home were restored through Jan. 30 in the government funding bill, after lapsing during the 43-day shutdown.

Patients and caregivers reacted with relief — but called for more action.

“We are pleased that Congress has worked together to temporarily restore the telehealth funding, but we hope they can make this a permanent part of the healthcare system,” said Martha Swick, a full-time caregiver for her husband Bill, who uses the program for speech therapy to treat his degenerative brain disease.

The deal also restored funding through Jan. 30 for a Medicare program that allows some patients to receive hospital-level acute in-person care at home.

Federal workers deemed essential, including Capitol Police officers, TSA workers and air traffic controllers, had been forced to work without pay during the shutdown.

But Kevin Hassett, chair of the National Economic Council at the White House, said their checks should soon be on the way.

“I think that the payments will come probably come in the next week,” Hassett said. “Maybe even before.”

It’s unclear whether the parties will find any common ground on health care before the December vote in the Senate. House Speaker Mike Johnson has said he will not commit to bringing it up in his chamber.

Some Republicans have said they’re open to extending the COVID-19 pandemic-era tax credits as premiums will soar for millions of people, but they also want new limits on who can receive the subsidies. Some argue the tax dollars for the plans should be routed through individuals rather than go directly to insurance companies.

Sen. Susan Collins, R-Maine, chair of the Senate Appropriations Committee, said Monday that she was supportive of extending the tax credits with changes, such as new income caps. Some Democrats have signaled they could be open to that idea.

The frustration and pressures generated by the shutdown was reflected when lawmakers debated the spending measure on the House floor.

Republicans said Democrats sought to use the pain generated by the shutdown to prevail in a policy dispute.

“They knew it would cause pain and they did it anyway,” House Speaker Mike Johnson said.

Democrats said Republicans raced to pass tax breaks earlier this year that they say mostly will benefit the wealthy. But the bill before the House on Wednesday “leaves families twisting in the wind with zero guarantee there will ever, ever be a vote to extend tax credits to help everyday people pay for their health care,” said Democratic Rep. Jim McGovern of Massachusetts.

The shutdown created a cascade of troubles for many Americans. Throughout the shutdown, at least 670,000 federal employees were furloughed, while about 730,000 others were working without pay, according to the Bipartisan Policy Center.

The plight of the federal workers was among several pressure points, along with flight disruptions and cuts to food aid, that in the end ratcheted up the pressure on lawmakers to come to an agreement to fund the government.

Throughout the six-week shutdown, officials in President Trump’s administration repeatedly used the federal workers as leverage to try to push Democrats to relent on their health care demands. The Republican president signaled that workers going unpaid wouldn’t get back pay. He threatened and then followed through on firings in a federal workforce already reeling from layoffs earlier this year. A court then blocked the shutdown firings, adding to the uncertainty.

Jessica Sweet spent the federal government shutdown cutting back. To make ends meet, the Social Security claims specialist drank only one coffee a day, skipped meals, cut down on groceries and deferred paying some household bills. She racked up spending on her credit card buying gas to get to work.

With the longest shutdown ever coming to a close, Sweet and hundreds of thousands of other federal workers who missed paychecks will soon get some relief. But many are left feeling that their livelihoods served as political pawns in the fight between recalcitrant lawmakers in Washington and are asking themselves whether the battle was worth their sacrifices.

“It’s very frustrating to go through something like this,” said Sweet, who is a union steward of AFGE Local 3343 in New York. “It shakes the foundation of trust that we all place in our agencies and in the federal government to do the right thing.”

▶ Read more about how federal workers felt about the shutdown

The Office of Personnel Management posted on X that federal workers are expected to be back to the grind on Thursday, with Trump signing a measure ending the record 43-day shutdown.

“Federal agencies in the Washington, DC area are open. Employees are expected to begin the workday on time. Normal operating procedures are in effect,” the OPM posting says.