The blockbuster of Senator Joe Manchin (DW.V.) announcement He will not support President Joe Biden’s $1.7 trillion social spending agenda, which puts critical healthcare provisions at risk. But there may be a way forward in the new year.Manchin, his support for the Democratic Party needs to pass it Pass the House of Representatives Last month, many health care policies were included, including the expansion of Affordable Care Act health insurance subsidies and items that are important to providers.

“We are very worried now,” said Ceci Connolly, president and CEO of the Community Health Plan Alliance, which supports expanded coverage. “It seems that Build Back Better is going through all the normal and reasonable deliberations and negotiations in Washington. But now, from a healthcare perspective, the suggestion that it could be blown up is very disturbing.”

The legislative program is wide-ranging and addresses different issues, including climate change, paid vacation, medical insurance, and taxes.

Democratic leaders tried to appease the party’s progressive and moderate camps when enacting legislation. The latter group of lawmakers, especially Manchin and Senator Christine Cinemas (D-Ariz.), have proven to be the most difficult to satisfy. Republicans unanimously opposed domestic policy bills, making every vote of Democrats precious, especially in the polarized Senate.

If Build?Back?Better?Act fails, the Democratic Party will have to find another way to advance their healthcare goals, namely include Before expiration at the end of 2022, provide more ACA subsidies for middle and high income earners. The “Reconstruction, Recovery, Better, Bill” will also make subsidies for low-income earners more generous. The bill will further provide health insurance subsidies to 2.2 million low-income adults living in 12 states. No expansion of Medicaid According to ACA.

The Democratic Party bill also contains several health care policies that are not controversial, including health care labor provisions, such as Medical Insurance Postgraduate Medical Education Funding, Expand access to family and community services, provide funding for the capital projects of community health centers, and spend on public health preparations. The legislation will also increase the coverage of hearing aids for medical insurance, allow medical insurance to negotiate the price of some medicines and permanently authorize a child health insurance plan.

Manchin opposed the cost of the bill and expressed opposition to tax credits for low-income families with children. The senator also accused fellow Democrats of using “budget gimmicks” to make the total cost of the bill appear smaller through temporary funding plans, even if the Democrats intend to update these plans in the future. Manchin previously agreed with the legislative framework he now opposes. according to White House.

The Democrats may use other legislative tools next year to transfer their health care provisions, including bills to fund the government and reauthorize prescription drug users.

Eliot Fishman, senior director of U.S. household health policy, said: “They are too compelling and too popular. The Democratic core group has too much consensus on them. Part.”.

According to the Washington Post Report On Monday, Manchin told the White House that he would accept a $1.8 trillion package that extended the ACA subsidy, but did not include the extension of the child tax credit.

Senate Majority Leader Chuck Schumer (DN.Y.) said on Monday that despite Manchin’s current position, the Senate will consider the plan early in the new year. Congress will adjourn for the rest of this year.

“We can’t give up at all,” Schumer wrote in a letter to Senate Democrats on Monday. “We will vote on the revised version of the Better Rebuild Act passed by the House of Representatives – we will continue to vote until we finish something.”