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House Speaker Mike Johnson, R-La., called the subsidies a “boondoggle� immediately after the House voted Wednesday to end the shutdown, and President Donald Trump said the Obama-era health overhaul was “disaster� as he signed the reopening bill into law.

It is far from the outcome that Democrats had hoped for as they kept the government closed for 43 days, demanding that Republicans negotiate with them on an extension before premiums sharply increase. But they say they will try again as the expiration date approaches.

“It remains to be seen if they are serious,� said House Democratic leader Hakeem Jeffries of New York. But he said Democrats “are just getting started.�

Republicans have been meeting privately to discuss the issue. Some want to extend the subsidies, with changes, to avoid the widespread increases in premiums. Others, like Johnson and Trump, want to start a new conversation about overhauling “Obamacare� entirely — a redo after a similar effort in 2017 failed.

Democrats push for extension

Health care has long been , marked by deep ideological and political divides. Partisan disagreement over 2010 law has persisted for more than a decade, and relationships are already strained from weeks of partisan tensions over the shutdown.

Connecticut Rep. Rosa DeLauro, the top Democrat on the House Appropriations Committee, said that while Republicans have promised negotiations and a Senate vote, Democrats are wary. She noted that Johnson has not committed to anything in the House.

“Do I trust any of them? Hell no,� DeLauro said.

If the two sides cannot agree, as many as 24 million people who get their health care from the exchanges created by the law could . New Hampshire Sen. Jeanne Shaheen, one of the Democrats who struck a deal with Senate Majority Leader John Thune, R-S.D., to reopen the government, said she thinks an agreement on the tax credits is possible.

During the talks that led to the shutdown’s end, Shaheen said she and other sat across from Thune and “looked him eye to eye� as he committed to a serious effort.

“We’re going to have a chance to vote on a bill that we will write by mid-December, in a way that gives us a chance to build — hopefully build — bipartisan support to get that through,� Shaheen said.

While Democrats would like to see a permanent extension of the tax credits, most realize that is unlikely. Just before the shutdown ended, Senate Democratic leader Chuck Schumer of New York proposed a one-year extension and a bipartisan committee to address Republican demands for changes to the ACA. But Thune said that was a “nonstarter� as the government remained shut down.

In the House, Democrats have proposed a three-year extension.

What Republicans want

While Republicans have long sought to scrap Obamacare, they have had challenges over the years in figuring out what would replace it. That problem plagued the 2017 effort, when then-Sen. John McCain, R-Ariz., cast the deciding vote to kill a bill on the Senate floor that was short on detail.

Republican Sen. Bill Cassidy of Louisiana, chairman of the Senate Health Education Labor and Pensions Committee, and Sen. Rick Scott, R-Fla., have proposed overhauling the law to create accounts that would direct the money to individuals instead of insurance companies. Those are ideas that Trump echoed as he signed the funding bill Wednesday evening.

“I want the money to go directly to you, the people,� Trump said.

It is unclear exactly how that would work, and scrapping the law in its current form would take months, if not years, to negotiate, even if Republicans could find the votes to do it.

Slow start to negotiations

Some moderate Republicans in the House have said they want to work with Democrats to extend the subsidies before the deadline, which is only weeks away. In a letter to Thune and Schumer on Wednesday, Pennsylvania Rep. Brian Fitzpatrick, the Republican co-chair of the Bipartisan Problem Solvers Caucus, encouraged negotiations.

“Our sense of urgency cannot be greater,� Fitzpatrick wrote. “Our willingness to cooperate has no limits.�

So far, though, Senate Republicans have been meeting on their own to figure out their own differences.

“Right now, it’s just getting consensus among ourselves,� Sen. Thom Tillis, R-N.C., said Monday after GOP members of the Senate Finance Committee met to discuss possible ways forward.

Tillis is supportive of extending the tax credits, but said lawmakers also need to find a way to reduce costs. If the two sides cannot eventually agree, Tillis said, Republicans may have to try and figure out a way to do it on their own, potentially using budget maneuvers that enabled them to pass this summer without any Democratic votes.

“We should have that in our back pocket too,� Tillis said.

Another shutdown?

Some House Democrats have raised the possibility that there could be another shutdown if they are unable to win concessions on health care. The bill signed by Trump will fully fund some parts of the government, but others run out of money again at the end of January if Congress does not act.

“I think it depends on the vulnerable House Republicans who are not going to be able to go back to their constituents without telling them that they’ve done something on health care,� said Rep. Pramila Jayapal, D-Wash.

“We’ll just have to see" if there could be another shutdown, said Rep. Mark Takano, D-Calif.

Rep. Jim McGovern, D-Mass., said he is “not going to vote to endorse their cruelty� if Republicans do not extend the subsidies.

DeLauro said that Republicans have wanted to repeal the ACA since it was first enacted. “That’s where they’re trying to go,� she said.

“When it comes to January 30 we’ll see what progress has been made,� she said.