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Thune Under Pressure to Advance Trump's Health Care Plan

1/23/2026

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Summary

Story summary

Senate Majority Leader John Thune (R-S.D.) faces pressure to advance a health care package modeled on U.S. President Donald Trump’s proposal.
Conservatives led by Sen. Rick Scott (R-Fla.) want to use budget reconciliation to bypass Democratic opposition.
Bipartisan talks to extend Affordable Care Act subsidies have stalled, a concern raised by Sen. John Kennedy (R-La.).
Thune has not ruled out reconciliation but requires a specific justification.

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Story summary

Senate Majority Leader John Thune (R-S.D.) faces pressure to advance a health care package modeled on U.S. President Donald Trump’s proposal.
Conservatives led by Sen. Rick Scott (R-Fla.) want to use budget reconciliation to bypass Democratic opposition.
Bipartisan talks to extend Affordable Care Act subsidies have stalled, a concern raised by Sen. John Kennedy (R-La.).
Thune has not ruled out reconciliation but requires a specific justification.