WASHINGTON — President Biden and Democratic congressional leaders raced on Monday to strike a compromise on a domestic policy and climate package, pushing for a vote within days even as critical disagreements remained over health benefits, paid leave, environmental provisions and how to pay for the sprawling plan.
Negotiators were closing in on an agreement that could spend around $1.75 trillion over 10 years, half the size of the blueprint Democrats approved earlier this year, as they haggled with centrist holdouts in their party who are pressing to curtail the size of the bill.
They have coalesced around a plan that would extend monthly payments to families with children, establish generous tax incentives for clean energy use and provide federal support for child care, elder care and universal prekindergarten. An array of tax increases, including a new wealth tax for the country’s billionaires, would pay for the initiatives.
But a final deal remained elusive amid disputes over the details of potential Medicare and Medicaid expansions, a new paid family and medical leave program, programs to combat climate change and a proposal to lower the cost of prescription drugs. Top Democrats were also toiling to nudge the price tag up to $2 trillion, still far below the $3.5 trillion level they laid out in their budget plan.
dozen states whose leaders have refused to expand the program under the Affordable Care Act. Its inclusion in the plan has been a priority for Democrats who represent those mostly southern states, such as Senator Raphael Warnock, Democrat of Georgia.
Where the Budget Bill Stands in Congress
But West Virginia is among the states that expanded Medicaid and pay 10 percent of the cost. Mr. Manchin said it would be unfair for the federal government to cover the entire cost for states that had not done so, in essence rewarding them for holding out.