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Compromise elusive, Republicans and Democrats engaged in finger-pointing Monday just hours before the first government shutdown in 17 years, driven by an intractable budget dispute over President Barack Obama's signature health care law.

The 54-44 vote hardly spells an end to Washington's latest down-to-the-wire budget drama.

The Democratic-run Senate has approved legislation aimed at preventing a Tuesday federal shutdown.

Federal authorities have not signed off on Iowa's low-income health care expansion because they do not like the use of premiums in the plan, Gov. Terry Branstad said Thursday.

The District of Columbia's new health care exchange will debut Tuesday, but will be missing a key feature.

A potential government shutdown hurtling ever closer, the Democratic-led Senate moved Friday toward approving legislation keeping federal agencies from locking their doors on Tuesday.