WASHINGTON (AP) — The U.S. government shut down Wednesday, with Democratic lawmakers insisting that any deal address their health care demands and Republicans stating those negotiations can happen after the government is funded.

At stake are tax credits that have made health insurance more affordable for millions since the COVID-19 pandemic. These subsidies are set to expire at the end of the year unless Congress decides to extend them, and their expiration would significantly increase premium costs for subsidized enrollees next year.

Democrats are calling for the immediate extension of these subsidies, which were initially implemented in 2021 and extended in the following year. They are also seeking to reverse recent Medicaid cuts enacted under President Trump’s substantial tax and spending bill that are beginning to affect states' Medicaid payments.

While some Republicans acknowledge that extending the tax credits is a concern, they argue that discussions on health care should wait until the government is first funded. Some GOP members express willingness to negotiate, but under the condition of prioritizing the funding issue.

The potential rise in health care costs looms as millions of Americans are expected to receive notices related to premium increases soon. House Democratic Leader Hakeem Jeffries emphasized the urgency to negotiate, highlighting the financial strain that higher costs will impose amidst existing inflationary pressures.

Republican leaders argue that Democrats are choosing to instigate the shutdown by not agreeing to a straightforward funding measure, insisting that their proposal did not include any new partisan policies.

With negotiations failing to progress, both parties remain at an impasse, highlighting the contentious state of U.S. health care and budget legislation. As individuals look towards rising costs in the coming year, the urgency to resolve these issues grows.