President Donald Trump is planning to unveil a new proposal for addressing health care costs as soon as Monday, as his administration tries to avert a spike in premiums driven by the expiration of key Affordable Care Act subsidies , three people familiar with the matter told CNN.

The plan aims to fulfill Trump's vow to deliver a better alternative to the enhanced ACA subsidies relied on by nearly 22 million people and comes after Democrats rejected measures to reopen the shuttered government for more than a month over their demand for a clean extension of those payments.

Senate Republicans agreed to hold a mid-December vote on extending the enhanced subsidies, which are set to lapse at year’s end, in exchange for extending government funding through January, spurring the effort by Tr

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