On Nov. 9, the Senate voted to end the longest federal government shutdown in history, with Majority Leader John Thune (R-SD) promising to hold a floor vote on a bill to extend the expiring Affordable Care Act (ACA) enhanced premium tax credits (PTCs) in mid-December. On Nov. 19, the Senate Committee on Finance held a hearing to discuss solutions to lower Americans’ health care costs, in which witnesses and Senators primarily focused on the role of the ACA.