Congress begins final session of 2025 with healthcare (and a dash of AI policy) on the docket

Lawmakers returned from the Thanksgiving break on Monday with a lot to do before the holidays and only a few weeks left to do it.

At the top of Congress’s economic agenda is a promise to vote on the health care left after a 43-day shutdown. Two limited AI measures are also being debated, with the last chance for action being in 2025.

The outcome of the health care negotiations will be felt in one way or another by millions of Americans, with the January 1 deadline when the increased Obamacare premium subsidies under debate set to expire.

A vote on whether to extend them is set to take place in the coming weeks, but the exact contents of any bill are still being worked out. Lawmakers are trying to find areas of bipartisan support, but the path forward is unclear after the White House promised last week and then backed away from offering its plan.

The Senate may provide some clarity in the coming days when the upper house’s health committee gathers Wednesday morning for a hearing titled “Healing a Broken System.” Observers are waiting to see whether the final vote is a disastrous partisan exercise or a chance to finally reach President Trump’s desk.

Chairman Bill Cassidy (R-La.), right, and Ranking Member Bernie Sanders, an independent from Vermont who sides with the Democrats, are the top officials on the Senate Health, Education, Labor and Pensions Committee, which will debate health care prices this week. (Tom Williams/CQ-Roll Call, Inc. via Getty Images)
Chairman Bill Cassidy (R-La.), right, and Ranking Member Bernie Sanders, an independent from Vermont who sides with the Democrats, are the top officials on the Senate Health, Education, Labor and Pensions Committee, which will debate health care prices this week. (Tom Williams/CQ-Roll Call, Inc. via Getty Images) , Tom Williams via Getty Images

Meanwhile, another urgent task on lawmakers’ agenda is to pass the annual National Defense Authorization Act (NDAA), which is pushing to include technology-focused provisions such as restrictions on states regulating AI.

These two economic fronts are part of what is expected to be a busy few weeks on Capitol Hill. A recently launched congressional investigation into Trump administration airstrikes in Latin America and a bill that could reshape college sports also will be debated before lawmakers go home on Dec. 18.

And all of this could be just a prelude to 2026, when the January 30 deadline for another government shutdown looms.

The Senate will be the center of health care conversations this week as bipartisan talks get underway.

This was the issue on which Democrats voted to shut down the government, but the shutdown ended with the promise of a Senate vote on the issue before the end of the year.

Meanwhile, the White House has refused to commit to its own plans — one reported proposal even extends the increased Obamacare subsidies for two more years — to take a step back, leaving Trump’s involvement in the debate unclear.

Meanwhile, House Speaker Mike Johnson has refused to promise a House vote even if a Senate deal is struck and passed, despite repeatedly referring to the subsidies as a “December policy issue.”



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