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Republicans defused a 43 day shutdown but face a closing window on health care, with enhanced Affordable Care Act subsidies expiring Dec. 31 and premiums more than double for tens of millions. House leaders are assembling bills that avoid renewing subsidies, while the White House weighs a conservative plan aligned with President Donald Trump, including expanded health savings accounts and looser ACA rules. Moderates push a one year extension led by Reps. Jen Kiggans and Brian Fitzpatrick, but leaders resist. Anxiety is rising from Jeff Van Drew to Marjorie Taylor Greene, as Democrats bet GOP plans will fail.

Prepared by Lauren Mitchell and reviewed by editorial team.