NEW YORK (AP) — The U.S. Senate is set to vote on contrasting health care bills on Thursday, a crucial moment that could impact millions of Americans relying on COVID-era subsidies. With the potential expiration of these subsidies, insured individuals face the grim prospect of soaring insurance costs come January, with some premiums expected to more than double.

Despite the urgency, there is little expectation that either of the partisan proposals will pass, leaving unresolved challenges just weeks before subsidies are set to expire. This impasse comes as health costs loom large for American households gearing up for the midterm elections in 2026, making health care affordability a key concern for voters.

Currently, over 24 million people benefit from the Affordable Care Act (ACA), yet without the enhanced subsidies introduced in 2021, many will likely experience unprecedented premium hikes. Data from the KFF reveals that annual premium payments could skyrocket by an alarming 114%, putting strain on low to middle-income households.

Democrats are advocating for an extension of these enhanced subsidies, arguing that continued support is vital for families grappling with rising costs. In contrast, Republicans are proposing a shift to health savings accounts, which critics argue do not address the pressing need to make health care premiums affordable.

As both parties gear up for a challenging election cycle, the outcome of Thursday's votes could significantly influence the health care landscape, leaving many Americans anxious about their future coverage options amidst rising premiums and policy disagreements.