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For Immediate Release
December 10, 2025
Media Contact: Casey-Lee Waldron

WASHINGTON, D.C. — Today, Congressman Brian Fitzpatrick (PA-1) released the following statement after filing a discharge petition to bring his Bipartisan Health Insurance Affordability Act directly to the House floor for a vote, ensuring Congress takes action to prevent devastating health insurance premium increases when current protections expire at the end of the year:

“Congress cannot sit idle while American families face a preventable crisis. Our job is to protect the people we serve, and that responsibility demands immediate action.

If these protections expire, millions of Americans will be hit with premium increases they simply cannot afford, forcing impossible choices about their health, their finances, and their futures. They deserve a concrete solution now—not promises of one later.

For months, I have worked with Republicans and Democrats in both chambers, along with input from the Administration, to build a bipartisan solution that can actually pass—not a political messaging exercise. This bill delivers the urgent help families need now, while giving Congress the runway to keep improving our healthcare system for the long term. Responsible governance means securing 80 percent of what families need today, rather than risking 100 percent of nothing tomorrow.

Filing this discharge petition ensures the House will have the opportunity—and obligation—to vote. Every member must decide whom they serve: the people, or the politics. We can prevent this—and we must. If 217 of my colleagues are willing to join me in putting constituents first, we can protect working- and middle-class families from a catastrophic crisis.

Our neighbors are counting on us. I’m calling on my colleagues to sign this petition, bring this two-party solution to the floor, and deliver the security and certainty American families deserve.”

About the Bipartisan Health Insurance Affordability Act:

Fitzpatrick (PA-01) was joined by Representatives Jared Golden (ME-02), Tom Suozzi (NY-02), Don Bacon (NE-02), Rob Bresnahan (PA-08), Marie Gluesenkamp Perez (WA-03), Donald G. Davis (NC-01), and Nicole Malliotakis (NY-11) to introduce the Bipartisan Health Insurance Affordability Act, a two-party, targeted solution to prevent a sharp jump in healthcare costs as current protections expire and ensure millions of Americans can maintain affordable coverage.

Without immediate congressional action, the scheduled expiration of the Affordable Care Act’s enhanced premium tax credits would result in steep, sudden cost increases and widespread loss of coverage—destabilizing the healthcare markets working families rely upon.

Key Provisions of the Bipartisan Health Insurance Affordability Act

The legislation advances five reforms designed to protect affordability, strengthen accountability, and ensure taxpayer value:

  • Prevents Premium Spikes: Extends enhanced premium tax credits through 2027, to protect families from abrupt monthly cost increases.
  • Restores Consumer Control: Stops unauthorized plan and subsidy changes by requiring consent and prompt notification before any modifications take effect.
  • Shines Light on Middlemen: Ends hidden spread pricing, severs PBM profits from drug prices, and requires full rebate pass-through to ensure savings reach patients.
  • Gives Families New Tools to Manage Costs: Expands access to Health Savings Accounts and simplifies premium payments to reduce disruptions in coverage.
  • Smart Stewardship of Taxpayer Dollars: Modernizes eligibility and introduces a reasonable minimum contribution to protect long-term affordability and responsible stewardship of federal dollars.

Read the full bill text here.

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Last week, the US House of Representatives passed a continuing resolution (CR) to keep the government funded through November 21, 2025. However, the CR legislation was not passed in the US Senate, failing with a vote of 44–48. The House and Senate have now adjourned for recess this week without finding a path forward to keep the government funded past September 30, 2025.

Although there are ongoing discussions among Republican and Democratic leaders, the Senate is not currently slated to return to Washington until September 29, and the House may not return until October. If an agreement on funding legislation is not reached by September 30, there will be a government shutdown.

To help prepare for what a government shutdown could mean, we are providing a helpful resource from McDermott+.

Below are key takeaways from how a shutdown could impact human services providers:

  • Depending on the length of a shutdown, Medicaid will continue to have sufficient funding and state payments so that providers should not be interrupted. A shutdown that extends beyond the quarter could potentially result in delayed payments to states, although that is unlikely.
  • It is likely that a percentage of HHS staff, including CMS, will be furloughed for the length of the shutdown, although the current administration has yet to release new guidance regarding agency procedures. With limited staff, CMS is unlikely to approve state plan amendments and waivers during a government shutdown, although review may occur in the background.
  • During a shutdown, the Administration for Community Living has historically continued activities funded through carryover funding.
  • SAMHSA has historically continued substance abuse and mental health programs during previous shutdowns, including those that provide critical behavioral health resources in the event of a natural or human-caused disaster, such as disaster behavioral health response teams, the disaster distress helpline that provides crisis counseling to people experiencing emotional distress after a disaster, and the 988 lifeline to connect people in crisis with life-saving resources.
  • The current Medicare telehealth flexibilities are extended via statute. However, the statutory provision expires on September 30, and needs to be extended by legislation (not regulation); these flexibilities would end if a government shutdown occurs. Pre-pandemic limitations for Medicare telehealth coverage and payment would return. These include waivers to geographic and originating site restrictions, expansions to the list of eligible practitioners, authorization of telehealth via audio-only telecommunications, use of telehealth for required face-to-face encounters prior to hospice care recertification, and the delayed in-person visit requirement for tele-mental health service.
  • A shutdown could impact the regulatory process. For example, if there were pending rulemaking, the Centers for Medicare and Medicaid Services (CMS) staff who work on these rules, along with the Office of Management and Budget (OMB) staff who review the regulations before they are released, could be furloughed in the event of a shutdown.
  • In the event of a government shutdown, Medicare and Medicaid payments to states do not immediately stop if the federal government shuts down. Both Medicaid and Medicare are mandatory spending programs, which means their funding is authorized permanently, and is not subject to the annual appropriations process that lapses.

These are all assumptions based on prior history, but shutdown operations under the new Trump administration could look quite different from how they have previously operated.

For additional information on other health care programs, please see this document.

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National Council’s Hill Day event will span two days, with a Public Policy Institute Program on October 7 at the Omni Shoreham Hotel, and meetings on Capitol Hill slated for October 8. This is a unique opportunity to connect with colleagues from across the country and share your important stories directly with the people who represent you in Washington, D.C.

Last year, RCPA members received the opportunity to learn and develop their lobbying skills through the Public Policy Institute sessions and put them to work meeting with Pennsylvania legislators in a series of meetings and roundtables. The experience was invaluable and created a pathway to advocating in their home districts and events like the RCPA Capital Day.

While Hill visits are open to all, space will limit the Public Policy Institute to 400 registrants.

As RCPA will once more serve as Team Captains for the Pennsylvania delegation, we ask that, when you register, you also contact RCPA COO Jim Sharp. RCPA will be coordinating and communicating with members as the event proceeds.

Register Here

Attendees are responsible for their own travel and lodging; however, hotel rooms can be booked through the Omni Shoreham Hotel at a discounted group rate once you have registered. Group transportation between the hotel and Capitol Hill will be offered at set times.

Note on potential shutdown: If Congress does not reach a spending agreement by September 30, there may be a government shutdown starting October 1. D.C. offices will remain open, however, and staff meetings can still occur. More updates will be provided if a shutdown appears likely.

More details will be forthcoming.  We look forward to seeing you there!

Questions:

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We are excited to announce Hill Day 2025!

Hill Day will span two days, with a Public Policy Institute Program on October 7 at the Omni Shoreham Hotel, and meetings on Capitol Hill slated for October 8.

This is a unique opportunity to connect with colleagues from across the country and share your important stories directly with the people who represent you in Washington, D.C.

Last year, RCPA members received the opportunity to learn and develop their lobbying skills through the Public Policy Institute sessions and put them to work meeting with Pennsylvania legislators in a series of meetings and roundtables. The experience was invaluable and created a pathway to advocating in their home districts and events like the RCPA Capital Day.

While Hill visits are open to all, space will limit the Public Policy Institute to 400 registrants.

As RCPA will once more serve as Team Captains for the Pennsylvania delegation, we ask that, when you register, you also contact RCPA COO Jim Sharp. RCPA will be coordinating and communicating with members as the event proceeds.

Register Here

Attendees are responsible for their own travel and lodging; however, hotel rooms can be booked through the Omni Shoreham Hotel at a discounted group rate once you have registered. Group transportation between the hotel and Capitol Hill will be offered at set times.

Note on potential shutdown: If Congress does not reach a spending agreement by September 30, there may be a government shutdown starting October 1. D.C. offices will remain open, however, and staff meetings can still occur. More updates will be provided if a shutdown appears likely.

More details will be forthcoming.  We look forward to seeing you there!

Questions:

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Flag of Pennsylvania state united states of america

Join Representative Dan Miller for a series of Virtual Lunch & Learn Sessions to see what the upcoming changes to Medicaid and SNAP may look like. Experts and advocates from Just Harvest, J Badger Consulting, Pennsylvania Health Action Network, Pennsylvania Health Law Project, St. Clair Health, and more will be on hand to help lead the discussion! Hear from experts and advocates how recent federal changes are likely to impact access and create challenges for the people who rely upon the generational promises they represent.

Visit here for more information.

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Image by BestGraphics_Com from Pixabay

Today, the House voted and passed HR 1 by a margin of 218–214, to advance the bill known as the “Big Beautiful Bill,” which now moves to the White House to Trump’s desk to be signed into law in time to beat a self-imposed July 4 deadline.

The final version cuts about $1 trillion from Medicaid, the federal health insurance program for low-income individuals and people with disabilities, and other health care programs. It reduces spending on anti-hunger programs, including SNAP, the Supplemental Nutrition Assistance Program formerly known as food stamps, by $185 billion.

The Pennsylvania Congressional Delegation all voted on party lines, with the exception of Representative Brian Fitzpatrick, who was one of only two Republicans to join all Democrats in voting against the measure. RCPA thanks Congressman Brian Fitzpatrick for meeting with RCPA last week and for voting against this bill. We are grateful for the Congressman’s support in protecting the most vulnerable populations that rely on Medicaid.

Main Points Relating to Medicaid Include
About 71 million Americans are enrolled in Medicaid, according to the government’s most recent data. According to a Congressional Budget Office report published this week, the changes to Medicaid and the Affordable Care Act in the current version would result in an increase of nearly 12 million more uninsured people by 2034. It is estimated that nearly 600,000 Pennsylvanians could lose Medicaid coverage.

Work Requirements
The bill outlines new work requirements for the popular entitlement program that provides government-sponsored health care for low-income Americans and people with disabilities. They require adults to work, volunteer, or study 80 hours a month to qualify for enrollment, unless they have an exception. The bill also requires parents of children over the age of 14 to work, as well as those receiving SNAP benefits.

Reporting Requirements
The bill also requires Medicaid recipients to prove their eligibility twice a year, instead of annually.

From our Partners at the National Council on Mental Wellbeing
The scale of the funding reductions and new administrative burdens is immense. But it is also important to recognize that some last-minute changes made to the bill in the past week provide an opening for further advocacy efforts that could potentially mitigate some of the impacts. Most relevant provisions of the bill will not take effect immediately, and in some cases, the effects will be phased in gradually over the course of several years. In addition, several provisions require agency rulemaking for full implementation, and there will likely be opportunities for you to engage through the notice and comment process.

RCPA will continue to review the final bill language and will follow up with a detailed analysis on the impacts of the bill; and through ongoing advocacy channels we will engage in with our national and state partners.

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The Senate today approved the “Big Beautiful Bill” with the collateral impact of taking away health care from hundreds of thousands of Pennsylvanians. The bill will now return to the House for a final vote before it goes to the President’s desk for signature and approval. The House is expected to act quickly.

The Senate bill makes even more drastic cuts to health coverage than the House version, totaling over $1 trillion, including Medicaid. Millions of Americans will lose access to health care; specifically, these cuts will take away health care from more than 600,000 Pennsylvanians and could double health insurance premiums for many more. In addition, the bill adds trillions to the growing Federal deficit by way of sizable tax cuts.

This will deeply impact our most vulnerable individuals and families that our members serve in the Commonwealth. We must act now to save access to health care. Find your legislator and their contact information here to let them know that you do not support the passage of the “Big Beautiful Bill.”

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