Three Pa. Republicans are siding with Democrats in a last-ditch effort to save healthcare tax credits

Four moderate Republicans — including three who are in the hot seat for reelection in swing districts in Pennsylvania — joined Democrats to sign a discharge petition Wednesday to force a vote on a proposal to extend pandemic-era expanded Obamacare subsidies.

While the move may not save the subsidies from expiring, given that Republican-controlled Senate has indicated resistance to the plan, the votes mark the sharpest rebuke of party leadership from within the GOP since President Donald Trump started his second term.

U.S. Rep. Brian Fitzpatrick, who has represented Bucks County since 2017, and two GOP freshmen from elsewhere in the state, U.S. Reps. Rob Bresnahan and Ryan Mackenzie, joined New York moderate Mike Lawler to give Democrats the votes they needed to push a vote on a clean extension of the subsidies to the floor.

The move comes on the heels of other high-profile examples of rank-and-file Republicans bucking Trump and House Speaker Mike Johnson, including last month’s bipartisan vote to release the Jeffrey Epstein files, following a discharge petition after Johnson had slow-walked the legislation.

The “dam is breaking,” U.S. Rep. Marjorie Taylor Greene (R., Ga.) told CNN on Tuesday in reference to the string of incidents in which members of the party had defied the president and speaker ahead of next year’s midterms.

The Republicans who defected on the healthcare bill had favored a compromise that they hoped might have a chance of passing Congress, but that was rejected by Johnson (R., La.), who sided with conservatives against expanding the subsidies, on Tuesday night.

That left them supporting a vote on a bill that extends the program as is, with far fewer restrictions and concessions than the compromise bills included.

“Despite our months-long call for action, leadership on both sides of the aisle failed to work together to advance any bipartisan compromise, leaving this as the only way to protect the 28,000 people in my district from higher costs,” Bresnahan said in a statement posted on X.

“Families in NEPA cannot afford to have the rug pulled out from under them. Doing nothing was not an option, and although this is not a bill I ever intended to support, it is the only option remaining. I urge my colleagues to set politics aside, put people first, and come together around a bipartisan deal.”

Bresnahan’s vote for the discharge petition comes a little more than a week after he welcomed Trump to his Northeast Pennsylvania district for a rally, which was meant to address voter concerns about affordability ahead of next year’s midterms.

The coming spike in healthcare premiums will be a central part of Democrats’ messaging in swing districts like Bresnahan’s.

Bresnahan won his election last year by about 1 percentage point. He was also one of just 20 House Republicans to sign a successful discharge petition earlier this month to force a vote for collective bargaining to be restored for federal workers.

“At the end of the day that might have been going against party leadership, but it was what’s right for northeastern Pennsylvania,” he told The Inquirer of the vote at the Pennsylvania Society last weekend.

Mackenzie, in an interview with The Inquirer, blamed Democrats for not signing on to one of the compromise proposals, leaving him and the other three Republicans with no alternative but to sign onto a discharge for a plan he doubts will pass.

“But if you send the Senate anything at this point, I’m of the opinion it will continue the conversation and they’ll consider what their options are,” Mackenzie said. “If they would like to do additional reforms, I welcome those.”

While Republicans who have opposed the extension argue the subsidies were meant to be temporary and affect only about 7% of Americans, Mackenzie said he has been hearing from constituents constantly.

“Healthcare and the current system is unaffordable for many people,” he said. “We recognize the current system is broken for millions of Americans, so to actually get to some kind of better position, you need both short-term and long-term solutions.”

He called the Affordable Care Act subsidy extension a needed short-term solution “to do something for people struggling right now.”

Like Bresnahan, Mackenzie won his Lehigh Valley seat by 1 percentage point last year. And the district will be a top priority for both parties in next year’s election — as shown by Vice President JD Vance’s visit there Tuesday.

U.S. Rep. Scott Perry, a staunch Trump ally, represents a swing district in Central Pennsylvania but voted against the discharge petition. Janelle Stelson, a Democrat seeking Perry’s seat, called him “extreme” for voting against the measure.

“While other Republicans are working across party lines to lower costs, Perry is yet again refusing to do anything to make life more affordable,” said Stelson, who narrowly lost to Perry last year.

Fitzpatrick had been leading the moderate push for a solution on the ACA tax credits with his own compromise bill in the House. His bill would extend the subsidies by two years and implement a series of changes, including new income eligibility caps and a minimum monthly premium payment. Fitzpatrick has bucked his party and Trump several times, voting against final passage of Trump’s One Big Beautiful Bill, though he voted for an earlier version that passed the House by only one vote.

Some Republicans do not want to extend the credits at all, while others want abortion restrictions included.

Democrats hoping to unseat Fitzpatrick argue he has a record of pushing back on Trump and GOP leaders only in ways that do not actually damage the party or its priorities. In this case, though, the three Pennsylvanians were critical in getting the petition through, even if the future of ACA tax credits remains uncertain.

“The only thing Brian Fitzpatrick has perfected in his 9 years in Congress is the art of completely meaningless gesture, designed to protect his political future not the people he serves,” his Democratic challenger, Bucks County Commissioner Bob Harvie, wrote on X.

Harvie had previously called on Fitzpatrick to sign the Democrats’ discharge petition.

Not all ACA tax credits are under threat. Under the ACA, people who earn less than 400% of the federal poverty level — about $60,000 — are eligible for tax credits on a sliding scale, based on their income, to help offset the monthly cost of an insurance premium.

That tax credit is part of the law, and therefore not expiring. But what will expire is an expansion passed in 2021 when Congress increased financial assistance so that those buying coverage through an Obamacare marketplace do not pay more than 8.5% of their income.