House Republicans have now voted 42 times over the past few years to kill or significantly alter President Barack Obama's healthcare reforms, which aim to provide medical insurance for millions of Americans. Each time, the Senate has ignored the work of Republicans in the House.
But this time, they have attached the measure to a must-do bill that funds many government agencies in the fiscal year starting October 1. If the House and Senate fail to resolve their differences by then, these agencies would have to shut down until the legislative dispute is resolved.
The Senate is expected to debate the bill next week, which would maintain strict, across-the-board spending cuts that were laid out as part of a 2011 deficit-reduction law.
Besides the need to quickly approve the spending measure, Congress also is fighting over separate legislation to raise the limit on US borrowing authority.
Lawmakers are staring down a floating deadline of sometime in October or early November to either pass a measure or hurl the US government into its first credit default.