(CNN) Democrats now have to decide whether to shut down the government of repeal a medical device tax and delay the Affordable Care Act one year.
Those are the conditions House Republicans approved early Sunday morning.
Medical device manufacturers say the tax hurts them and gives an advantage to overseas competitors.
The temporary budget resolution now goes back to the Senate, where Democrats have consistently said any changes to President Barack Obama’s signature health care law would be a deal-killer.
On top of that, Obama has already issued a veto threat.
If Washington can’t reach a deal, a government shutdown will begin at 12:01 a.m. Tuesday.
A Senate Democratic source told CNN on Saturday there were no plans for the Senate to meet before Monday — the day the current fiscal year ends.
Congress could avert a shutdown by passing a temporary spending measure while the two chambers work out their differences.