(WASHINGTON) — The Senate on Thursday failed to advance two competing health care proposals aimed at addressing a spike in costs that are expected for tens of millions of Americans who receive enhanced Affordable Care Act tax credits.

Both plans, one put forward by Democrats and the other championed by Republicans, failed to get the 60 votes needed.

The Republicans’ bill failed to advance by a vote of 51-48 with Republican Sen. Rand Paul as the only Republican to vote against it.

The Democrats’ bill also failed to advance by a vote of 51-48. Republican Sens. Susan Collins, Lisa Murkowski, Dan Sullivan and Josh Hawley crossed the aisle to join all Democrats in supporting it.

Now, lawmakers will have only a matter of days remaining to address the expiration of the enhanced tax credits, a

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