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Health care compliance concept Since Republicans have vowed to oppose the additional spending and the Senate is evenly split, Democrats would need to get all members to agree to the reconciliation plan.

The budget package Democrats are assembling in Congress would likely provide the biggest jolt to the American health care system since the passage of the Affordable Care Act in 2010, according to sources familiar with work on the plan.

Democrats in the Senate announced Tuesday night that they had reached a framework for a $3.5 trillion budget plan that would cover health care, education, climate and tax changes sought by lawmakers and President Joe Biden.

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