From Nate Keller <[email protected]>
Subject The Shutdown has Ended, But the Urgency Has Never Been Higher
Date November 18, 2025 5:15 PM
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Dear Health Advocates,
Last week, the government reopened after Congress passed a funding package 60-40 in the Senate and 222-209 in the House.
The bill funds most federal agencies through the end of January and some through September 30, 2026 (notably including SNAP), but it does not include any extension of the enhanced health care tax credits , which had been Democrats’ longstanding demand. While Senate Democrats secured a promise from Leader Thune to hold a vote on the enhanced credits by mid-December, there is no guarantee enough Republicans will vote for the bill to overcome a filibuster. Even if the Senate passes the bill, there is no guarantee the House will bring it up for a vote or that the President will sign it.
We know Senators are working to discuss the specifics of a bill, but Families USA and our partners have been clear from the start: Congress must act quickly to pass a clean extension of these ACA tax credits and ensure millions of Americans can continue to access affordable care.
As we said, the fight continues for health care affordability! Families USA is joining Popular Democracy and nearly 20 national co-sponsors for a Save the ACA Rally at the Capitol this Wednesday, November 19, 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]] .
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! Fact Sheet: November Is Diabetes Awareness Month [[link removed]] , Families USA.
* NEW! Insights blog: Republicans’ Harmful Budget Cuts and Attacks Are Undermining Immigrants’ Health Care [[link removed]] , Families USA.
* NEW! Blog: Clarifying Access: What New Federal SNAP Restrictions and Guidance Mean for Immigrant Communities [[link removed]] , NILC.
* 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! Save the ACA Rally * On November 19th, Popular Democracy, Fair Share America, SEIU, MoveOn, Public Citizen, National Nurses United, People’s Action, Economic Security Project, Network, Coalition for Human Needs, Be A Hero, Americans for Tax Fairness, Caring Across Generations, Public Health Awakened, United for Respect, Protect Our Care, Families USA and Faith in Action, will mobilize community leaders from across the country to Washington, D.C., to ensure that protecting the Affordable Care Act (ACA) remains at the center of those priorities. There will be an action on Wednesday at 11 am in Area 8 (grassy area between 1st and Constitution). You can register for the event here. [[link removed]]


* THIS WEEK! Webinar - The Cost of Being Well * Young Invincibles is hosting an advocacy call titled, The Cost of Being Well: How students can take action for basic needs on Tuesday, November 18th, from 1:00 - 2:30 pm ET. This advocacy call will focus on how access to basic needs like food and mental health services supports student success. Register here [[link removed]] .


* NEXT MONTH! 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: 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.


* 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
* * Editorial: Congress must act to keep health coverage affordable [[link removed]] , The Alpena News via the Michigan League of Public Policy.




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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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