A dozen Democratic senators urged the Trump administration on Monday to “end its sabotage” of the nation’s healthcare system.

“Instead of committing to making the [Affordable Care Act] work, it appears the Administration is considering additional actions that would jeopardize the health and welfare of millions of Americans,” the senators wrote in a letter to Health and Human Services Secretary Tom Price and Office of Management and Budget Director Mick Mulvaney.

The senators denounced the administration’s consideration of cutting cost-sharing reduction (CSR) payments, which they say "help [insurers] defray the cost of health care insurance for eligible enrollees."

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“Despite health insurers, medical providers, and business leaders stating that continuing cost-sharing reduction payments is key to the success of the health insurance Marketplaces and is the 'most critical action' the Administration could take regarding the ACA, the Administration appears to be considering terminating these payments,” the letter said.

The Democratic lawmakers charged the White House with being wishy-washy on CSR payments, using them as a “bargaining chip.”

“The uncertainty being caused by the Administration’s rhetoric is threatening the future of the ACA. Holding the health care of millions of people hostage as a bargaining chip is unacceptable,” they wrote.

“We call on the Administration to halt efforts to undermine the law and permanently commit to continuing to make these payments,” they added.

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No Democrats voted for the bill, and 20 Republicans broke with their party to oppose it. The Senate will now take up the matter.