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Dear Health Advocates,
While the Senate last week failed to pass bills to extend the enhanced premium tax credits, this week the action is in the House. Republican leadership is offering a health package that doesn’t include any extension of the tax credits, opting instead to platform a host of conservative health policy options that make coverage more expensive and strip benefits from people. Despite promises from leadership for an amendment to extend enhanced premium tax credits, that is no longer going to be offered. We expect a vote on this bill on Wednesday.
However, there are several discharge petitions; with 218 signers, these could come up for a vote. For example:
House Democrats have introduced a discharge petition for a three-year, clean extension of the enhanced tax credits. The content of this proposal mirrors the Senate bill from last week, which failed to gather enough support to pass.
Two bipartisan discharge petitions: 1) a two-year extension of the enhanced credits with an income cap, more access to health savings account (HSA), and the elimination of zero-premium plans, sponsored by Reps. Brian Fitzpatrick (R-PA) and Jared Golden (D-ME); and 2) a one-year extension of the enhanced credits, coupled with consideration of broader health reforms, fraud protection strategies, and an extended open enrollment period, sponsored by Reps. Jen Kiggans (R-VA) and Josh Gottheimer (D-NJ).
Although the path forward on an extension of the tax credits is narrow, it is clear that House members across the aisle understand how little time there is to address the significant, impending impact of failing to act on the enhanced subsidies – that is, health care costs skyrocketing for millions of families and individuals, and fewer people enrolled in comprehensive health care coverage.
It is our job to keep up the pressure on Congress to pass a bill that extends the enhanced premium tax credits as soon as possible – take action using the resources below!
* CALL: The Capitol Switchboard: (202) 224-3121. If lines are busy, keep trying and utilize other options below!
* EMAIL: CHN Action's Tool to email Congress [[link removed]] and demand they extend the enhanced ACA premium tax credits before the end of this year.
* VISIT & SHARE: Take a trip to Families USA and Community Catalyst's Lower Health Care Costs Now web page [[link removed]] to share your story and find relevant resources you need for this fight!
Programming Note:
This is our last Resource Roundup of the year. We will return to your inboxes in 2026. Enjoy a restful end to the year and happy holidays! Thank you for engagement and advocacy this year.
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]] .
HAC Registration [[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! Insights Blog: What Health Care Consumers Need to Know About ACA Marketplace Coverage for 2026 [[link removed]] , Families USA.
* NEW! Press Release: Families USA Statement on Failed Senate Vote to Extend Premium Assistance for Millions of Americans [[link removed]] , Families USA.
* NEW! Insights Blog: Congress Must Extend the Enhanced Premium Tax Credits and Lower Health Care Costs Now [[link removed]] , Families USA.
* NEW! Report: Harmful Republican Megabill Takes Away Health Coverage, Food Assistance, Tax Credits From Millions of Immigrants and Their Families [[link removed]] , CBPP.
* NEW! Comments: Written Testimony of Anthony Wright for Senate Health, Education, Labor, and Pension (HELP) Hearing [[link removed]] , Families USA.
* NEW! Comments: Written Testimony of Sophia Tripoli for House Oversight Subcommittee Hearing [[link removed]] , Families USA.
* NEW! Insights Blog: Unprecedented Changes by a Little-Known Committee That Controls Our Vaccine Access [[link removed]] , Families USA.
* NEW! Press Release: Families USA Statement for the Record for the Senate HELP’s Committee Hearing on Making Health Care Affordable Again [[link removed]] , Families USA.
* NEW! Insights Blog: Trump Administration Shuts Down Public Input, Undermining Transparency, Health Equity and Good Policy [[link removed]] , Families USA.
* UPDATED! Fact Sheets: The Importance of Premium Tax Credits: Affording Health Insurance Coast to Coast [[link removed]] , Families USA.
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* CONTINUING THIS WEEK! Webinar Series: Virtual Black Women's Health Imperative's Legislative Health Policy Series * Participants will hear from policy and subject matter experts as they engage in a fireside chat style discussion around THREE key policy areas that directly impact the health of our nation's Black Women & Girls
* Dates:
* December 17th: Artificial Intelligence and Technology: Shaping the 2026 Health Landscape


* 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
* Fact Sheet: The Importance of Premium Tax Credits: Affording Health Insurance Coast to Coast (Spanish) [[link removed]] , Families USA.


* Publication: Medicaid Work Requirements: Mitigating Harm through Implementation [[link removed]] , NHeLP.


* Fact Sheet: Why Health Insurance Premiums Continue to Skyrocket [[link removed]] , Families USA.


* Blog: Clarifying Access: What New Federal SNAP Restrictions and Guidance Mean for Immigrant Communities [[link removed]] , NILC.


* Toolkit: Mitigating the Harms of Medicaid Work Requirements for Older Adults: Tools for State Advocates [[link removed]] , Justice in Aging.


* Insights blog: Republicans’ Harmful Budget Cuts and Attacks Are Undermining Immigrants’ Health Care [[link removed]] , Families USA.


* Blog: The Trump Administration’s Refusal to Feed American Families [[link removed]] , FRAC .


* 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.


* Infographic: Open enrollment explainer [[link removed]] , Community Catalyst


* 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.


State Resources
* Fact Sheet: State Policy Options to Address Health Care Consolidation and Lower Hospital Prices [[link removed]] , Families USA.


* Blog: Turning Lemons into Lemonade: State Applications Underscore the Limitations of OBBBA's Rural Health Transformation Program [[link removed]] , NHeLP.


* 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
* Federal Guidance: CMS Issues New State Guidance on Transformative Medicaid Reforms [[link removed]] .
* Policy Brief: Medic aid: 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
* * Article: Sign up, shop, compare is advice experts provide for 2026 ACA enrollment [[link removed]] , Florida Phoenix.




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Have a great week,
Nate Keller
Senior Associate, Organizing and Mobilization
Families USA
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