WASHINGTON —

The Senate is expected to vote on competing health care plans on Thursday as many Americans insured through the Affordable Care Act face skyrocketing premiums in the new year.

Both proposals appear destined for failure, based on comments from Republican and Democratic leadership on Tuesday.

Enhanced subsidies that have lowered out-of-pocket costs for millions are due to expire at the end of this year without further action from Congress.

Senate Democrats are proposing a three-year extension of the COVID-era policy. Thursday's vote was promised as part of the deal to end the government shutdown, but passage is far from guaranteed.

"Republicans have 48 hours to choose. Join Democrats and stop the spike or stick millions of Americans with higher costs," Senate Minority Lea

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