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Dear Health Advocates,
Last night, the Senate passed a funding package 60-40 that would reopen the federal government after nearly six weeks since the shutdown began. The bill now goes to the House, where voting could begin on Wednesday.
As yesterday's statement [[link removed]] from Anthony Wright, Families USA’s Executive Director, states:
The shutdown may be ending, but the fight to contain health care costs must continue. More than 22 million Americans who purchase their own health coverage are now at risk of facing skyrocketing premiums or losing their coverage altogether.
We are profoundly disappointed that this agreement includes only a promise of a future vote on extending the enhanced premium tax credits that millions of Americans depend on to afford their coverage.
The bill funds most federal agencies through the end of January and some through September 30, 2026. The longer-term portion includes funding for the Supplemental Nutrition Assistance Program (SNAP), which has experienced tremendous uncertainty this month and would now be protected in any potential future shutdown over the next year. It also provides backpay to federal workers and protects against additional mass firings through the end of January.
Yet, it does not include any extension of the health care tax credits , which had been Democrats’ longstanding demand. Democrats secured a promise for a separate vote on the tax credits in December, but the necessary Republican votes and Presidential signature required to extend the enhanced credits are not promised.
Democratic Sens. Catherine Cortez Masto (NV), Dick Durbin (IL), John Fetterman (PA), Maggie Hassan (NH), Tim Kaine (VA), Jacky Rosen (NV), and Jeanne Shaheen (NH), along with independent Sen. Angus King (ME), who caucuses with Democrats, joined Republicans (save for Rand Paul of Kentucky) to vote in favor of moving the funding bill forward.
As we said, the fight continues for health care affordability! Popular Democracy, along with numerous national and state partners, will be holding a Save the ACA Day of Action on Wednesday, November 19, including a rally at 11 AM in Area 8 (grassy area between 1st and Constitution). You can follow this link [[link removed]] for more information.
Health Action Conference
The conference will be held from January 22-23 here in Washington, DC at the Capital Hilton. Whether you're a HAC veteran or a first-timer, we hope you can join other dynamic health advocates from across the country to strengthen the movement for health and health care justice.
Find more details and register here [[link removed]] . We also ask that you fill out our pre-conference survey [[link removed]] to help us make HAC even better for advocates like you!
HAC Registration [[link removed]?]
Pre-Conference Survey [[link removed]]
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* Take Action: Send an email [[link removed]] to your Senators and Representatives asking them to prioritize affordability in the budget bill!
* Call to Action: Please join Families USA and Tell Your Members of Congress: Health Care Cuts Are Unacceptable: Email Writing Campaign [[link removed]]
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* NEW! Blog: The Trump Administration’s Refusal to Feed American Families [[link removed]] , FRAC .
* NEW! Report: What’s in the government funding bill the Senate is moving, what isn’t, and what to watch next [[link removed]?] , We Build Progress.
* NEW! Infographic: Open enrollment explainer [[link removed]] , Community Catalyst
* NEW! Messaging Guide: Open Enrollment 2025 [[link removed]] , Community Catalyst .
* NEW! Editorial: Congress must act to keep health coverage affordable [[link removed]] , The Alpena News via the Michigan League of Public Policy.
* UPDATED! Fact Sheets: The Importance of Premium Tax Credits: Affording Health Insurance Coast to Coast [[link removed]] , Families USA.
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* THIS WEEK! Webinar - The SNAP Funding Maneuvers: Have They Been Legal? * Please join David A. Super, Georgetown Law Professor, as he provides a clear-eyed and experienced assessment of the lawless actions by the Trump administration regarding SNAP benefits. He will offer UUSJ chapter and verse on the maneuvers the administration has been deploying, and suggest what we all need to be aware of as this policy circumstance continues to unfold. Find more details here [[link removed]] .


* THIS WEEK! The Arc National Convention * Join the Arc for their annual conference from November 13-15 in Charlotte, NC. It's the disability community’s gathering of the year, where people with disabilities, families, and allies connect, learn, and lead the fight for inclusion. We’re heading to a city that’s vibrant, welcoming, and committed to disability rights. Think accessible venues, green spaces, Southern hospitality, award-winning food, and a diverse local community. Find more details here [[link removed]] .


* NEXT WEEK! Webinar - Defend Progress. Extend Coverage. Empower Consumers. Protecting CGM Access at the State-level * Join Families USA, leading diabetes advocates, and researchers for a timely webinar on how to protect and expand CGM coverage nationwide. Find more details and register here [[link removed]] .


* Advocates Meeting: Wednesday Advocates Meeting Zoom call [[link removed]] , Coalition on Human Needs hosting every Wednesday at 9:30 AM ET.
* Shared Advocacy Calendar: Coalition on Human Needs [[link removed]] . Check out weeks of action and upcoming events
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National Resources
* Blog: Reducing or Eliminating the Title X Family Planning Program Would Restrict Contraceptive Access Nationwide [[link removed]] , Commonwealth Fund.
* Blog: 300,000 Lawfully Present Immigrants Will Be Newly Ineligible for Health Care Help in This Open Enrollment Period [[link removed]] , NILC.
* Insights Blog: Smoke and Mirrors vs. Policy and Meaningful Change: What’s Real and What’s Political Theater in the Fight for Lower Prescription Drug Prices [[link removed]] , Families USA.
* Insights Blog: Sowing Distrust and Dismantling Science: Escalating Threats to Vaccine Access [[link removed]] , Families USA.
* Insights Blog: What the Government Shutdown Debate is Really About: Health Care Tax Credits for Working Class Americans [[link removed]] , Families USA.


* Fact Sheet: Fact Checking Immigrants, Health Care, and the 2025 Tax and Budget Law [[link removed]] , Families USA.


* Insights Blog: Vulnerable, Working Class Americans will be Hardest Hit if Congress Lets Premium Tax Credits Expire [[link removed]] , Families USA.
* Report: TANF Is a Vital Resource for People Facing Hardship but Needs to Reach More Families [[link removed]] , CBPP.


* Press Release: New Data Shows Need for Immediate Action from Congress to Extend Enhanced Premium Tax Credits [[link removed]] , Families USA.
* Video: 90 Seconds or Less Policy Explainers. [[link removed]] Families USA.


State Resources
* Fact Sheet: State Strategies for the Rural Health Transformation Program (RHTP) [[link removed]] , Milbank Memorial Fund.
* Toolkit: Work Reporting Requirements: State Considerations When Defining Medical Frailty [[link removed]] , State Health and Value Strategies .
* Interactive Map: Tracking State Preparation for the Rural Health Transformation Program [[link removed]] , State Health & Value Strategies.
* Article: The One Big Beautiful Bill Act Will Increase the Number of Americans Without Health Coverage in Every State and Congressional District, [[link removed]] Center for American Progress.
Medicaid
* Policy Brief: Medicaid: A Lifeline for Latines and Immigrants [[link removed]] , National Latina Institute for Reproductive Justice.


* Analysis: Medicaid Expansion Reduces Maternal Mortality: Medicaid Cuts Would Be Deadly for Mothers and Babies [[link removed]] , Families USA.
* Fact Sheet: Fact Sheet: Republicans Are Working to Gut Medicaid, a Lifeline for People With Mental Health Conditions and Opioid Addiction [[link removed]] , Protect Our Care.


* Insights Blog: Work Reporting Requirements Don’t Work: An in-depth look as Idaho moves closer to adding costly red tape to Medicaid, [[link removed]] Families USA.


Other Resources
Media Coverage of Families USA and State Partners Advocacy Work
* * New Hampshire Union Leader: Congress must act or health insurance premiums will spike (Samuel Burgess) [[link removed]]
* Concord Monitor: Opinion: Granite Staters face premium shock without congressional action [[link removed]]
* New Hampshire News Leader: Cancer survivors' stories inspire Shaheen to lead tax credit fight [[link removed]]
* News Center Maine (coverage of Health Care for Maine’s annual conference) – While Mainers face rising health care costs, leaders gather to find solutions [[link removed]]


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CONNECT [[email protected]?subject=Wanting%20to%20connect&body=] GIVE FEEDBACK [[link removed]]
Have a great week,
Nate Keller
Senior Associate, Organizing and Mobilization
Families USA
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