"I don't know how I'm going to pay for this," said one person with an Affordable Care Act plan that will cost her $1,100 a month starting in January.

The Senate is set to vote on dueling health care proposals. Both plans are likely to fail, even as Affordable Care Act premiums are set to skyrocket at the end of the year.

In about 22 days, a large portion of government health care subsidies expire, affecting the cost and availability of insurance for no less than millions of people. And yet, Congress is set to leave Washington in two weeks.

For 2026, the plan features significantly lower out-of-pocket costs for members who use the plan’s “narrow network” that limits choice.

Republicans put forward an alternative healthcare bill that would instead fund individual health accounts for some households. That also failed. It’s just weeks to go until millions of Americans covered under the Affordable Care Act face soaring costs for their coverage when the subsidies lapse.