Robert P. Bresnahan

Bresnahan, Dingell, Mann, and Frankel Introduce Legislation to Delay 340B Rebate Model, Protect Access to Affordable Medicine

Position: Representatives Bresnahan, Dingell, Mann, and Frankel introduced bipartisan legislation to delay implementation of the federal 340B rebate model, citing financial and administrative risks to safety-net providers and patients.

WASHINGTON, DC: Today, U.S. Representatives Rob Bresnahan, Jr. (PA-08), Debbie Dingell (MI-06), Tracey Mann (KS-01), and Lois Frankel (FL-22) introduced the 340B Rebate Model Delay Act, bipartisan legislation to delay implementation of the federal government’s 340B rebate model, citing concerns that the new system could create significant financial and administrative risks for healthcare providers and patients. “Patients and providers should not have to bear the risks of an untested change to a program that helps deliver affordable medicines to communities across the country,” said Rep. Bresnahan. “Congress needs more time to evaluate the potential financial and administrative consequences of the rebate model and ensure that any changes to 340B protect patients and the providers who serve them. Under the rebate model, participating providers would pay the full price of certain prescription drugs upfront and receive the 340B discount later through rebates. This could create cash-flow pressures, increase administrative burdens, and make it more difficult for community health centers, hospitals, and other safety-net providers to maintain access to affordable medications. “Families in Michigan are already struggling to pay for healthcare,” said Rep. Dingell. “Safety-net providers are not in the financial position to front this money, especially in light of Medicaid cuts, and will either have to hike up prices for patients or stop offering lifesaving drugs. This bill would delay the implementation of this rebate model so we can ensure people’s lives are not put at risk.” “Rural hospitals and health care providers across the Big First District rely on the 340B program to stretch limited resources and continue providing quality care close to home,” said Rep. Mann. “The new rebate model would force these providers to pay higher upfront costs and wait to be reimbursed, putting unnecessary financial strain on facilities that already operate on tight margins. This legislation provides certainty for our rural health care providers by stopping the rebate model through 2028 and protecting their ability to serve patients in rural communities.” “Safety-net hospitals and community health centers are lifelines for low-income families, seniors, and people without health insurance,” said Rep. Frankel. “Our bipartisan bill stops a new requirement forcing these providers to pay full price for prescription drugs and then wait for rebates. Their limited resources should go toward caring for patients, not waiting for drug companies to pay them back. We should be making it easier for people to get the medicine they need, not putting more financial strain on the hospitals and clinics they depend on.” The 340B Drug Pricing Program allows eligible healthcare providers serving underserved communities to purchase covered outpatient drugs at discounted prices and stretch limited resources to provide care. The 340B Rebate Model Delay Act is endorsed by Advocates for Community Health, America’s Essential Hospitals, Children’s Hospital Association, National Association of Community Health Centers, Catholic Health Association, Alliance of Safety-Net Hospitals (ASH), Health West, Hospital Association of Pennsylvania (HAP), 340B Health, American Society of Health-System Pharmacists, Ryan White Clinics for 340B Access, American Association of Medical Colleges, National Rural Health Association, Michigan Primary Care Association, Florida Association of Community Health Centers, Community Health Center Association of Mississippi, Idaho Community Health Center Association, Community Health Center Association of Connecticut, Georgia Primary Care Association, Oregon Primary Care Association, Washington Association for Community Health, and American Hospital Association. ###

Bresnahan, Local Realtors, Community Leaders Hold Roundtable on Housing Priorities

Position: The release supports the bipartisan 21st Century ROAD to Housing Act, which aims to increase housing supply, streamline zoning and permitting, expand affordable housing construction, and restrict large institutional investors from purchasing newly built single-family homes.

TANNERSVILLE, PA: Today, U.S. Representative Rob Bresnahan, Jr. (PA-08) joined realtors, developers, educators, and community leaders for a roundtable covering housing priorities in Northeastern Pennsylvania. The group discussed the 21st Century ROAD to Housing Act, which became law earlier this year, as well as local leaders’ ideas for improving housing access and affordability. “Families across Northeastern Pennsylvania are working hard to afford a home, but too many are finding that the cost of buying or renting is out of reach,” said Rep. Bresnahan. “We need to build more homes, but unnecessary barriers that drive up costs, and make sure working families aren’t being pushed aside by massive investment firms buying up housing. The 21st Century ROAD to Housing Act takes important steps in that direction by expanding housing supply and giving families a fairer shot at a finding a place they can call home.” Rep. Bresnahan was joined by: Chris Barrett, Pocono Mountain Visitors Bureau President & CEO Chris Fahy, Pennsylvania Association of Realtors NEPA Region Government Affairs Christine Wilkins, Pocono Mountain Association of Realtors Board Member and Realtor at Wilkins & Associates Tiffanie Bailey Romey, Pocono Mountain Association of Realtors Realtor and Board President and Pennsylvania Association of Realtors Vice President Will Clauss, Realtor at Chant Real Estate Terry Soloman-August, Realtor, Luzerne County Association of Realtors Past President Robin Mediros, Realtor and Greater Scranton Board of Realtors Past President Erin Ward, Associate Dean for Student Services at Northampton Community College, Monroe Campus Lori Rudalavage, Vice President for Lending at PS Bank Jerrod Belvin, Empire Development Group General Manager Tom Campbell, Pocono United Way Vice President and Community Development of the Poconos Executive Director During the roundtable, local housing leaders shared their experiences and perspectives on the barriers facing homebuyers, renters, developers, and communities across the region. Participants discussed the need to expand housing supply, streamline unnecessary zoning and permitting barriers, encourage new development, and make better use of existing building and public land. Rep. Bresnahan discussed his support for the bipartisan 21st Century ROAD to Housing Act, which takes a comprehensive approach to addressing the nation’s housing challenges. The legislation increases housing supply, streamlines zoning and permitting, expands affordable housing construction, supports critical repairs for homeowners, and strengthens rental assistance programs. The legislation also addresses concerns about large institutional investors competing with families for newly built single-family homes. Under the bill, institutional investors that own 350 or more single-family homes are restricted from purchasing additional newly built single-family homes, helping ensure families have a fair opportunity to compete for homeownership. ###

Bresnahan Pushes for Prior Authorization Reform in Congress

Position: Representative Bresnahan supports prior authorization reform, including requirements for electronic processing, faster decision timelines, transparency, and physician review of denials, and has cosponsored several bills to that end.

WASHINGTON, DC: Today, U.S. Representative Rob Bresnahan, Jr. (PA-08) announced that he cosponsored several pieces of legislation targeted at improving accountability from insurance companies and protect patients from unnecessary delays in care. “Insurance companies have a responsibility to manage healthcare costs, but that should never mean putting profits ahead of patients,” said Rep. Bresnahan. “Families pay their premiums every month and shouldn’t have to fight with an insurance company to get the care their doctor says they need. We need reforms that cut red tape, hold insurance companies accountable, and make sure medical decisions are driven by doctors and patients, not the bottom line.” Prior authorization is intended to help insurers manage costs and ensure certain treatments meet coverage requirements, but the process has led to significant administrative and access challenges. In a 2024 American Medical Association survey, 94% of physicians said prior authorization delays access to necessary care, while physicians reporting spending an average of 12 hours per week completing prior authorization requests. Additionally, a 2022 HHS Office of Inspector General review found that 13% of sampled Medicare Advantage prior authorization denials met Medicare coverage rules, meaning those services likely would have been approved under traditional Medicare. “Insurance companies operate in a multibillion-dollar market, but patients are not dollar signs,” continued Rep. Bresnahan. “Doctors should not have to spend hours fighting with insurers over treatments they have already determined are medically necessary. We can protect taxpayer and premium dollars without letting insurance companies put profits ahead of care. Prior authorization reform is about putting patients first and giving doctors the ability to do their jobs.” To combat the delays in necessary care, contributions to patients abandoning recommended treatment, and added time from doctors and their staff, Rep. Bresnahan cosponsored: H.R. 3514, Improving Seniors’ Timely Access to Care Act of 2025, which establishes requirements for prior authorization in Medicare Advantage, including electronic prior authorization, faster decision timelines, transparency requirements, and greater accountability for MA plans. H.R. 2433, Reducing Medically Unnecessary Delays in Care Act of 2025, which establishes stricter federal standards for prior authorization decisions made by Medicare contractors and private Medicare plans. This bill mandates that coverage denials must be based on clear, evidence-based clinical criteria developed with input from practicing physicians. Furthermore, it requires plans to post their authorization rules online, provide advance notice of changes, and publicly report approval and denial statistics. Finally, all final denials of care must be reviewed and issued by a qualified, board-certified physician. H.R. 9396, Prior Authorization Accountability Act, which requires insurers that use prior authorization to publicly disclose approval and denial rates, appeal volumes and outcomes, average and median decision times, and the percentage of decisions made using AI or other specified technology. H.R. 9734, Protecting Patients from Automated Denials Act, which establishes requirements for the use of artificial intelligence in prior authorization denials by Medicare Advantage organizations. H.R. 9192, Prior Authorization Reform for Autoimmune and Blood Disorders Act, which addresses insurance coverage and prior authorization barriers involving drugs for autoimmune diseases and certain blood disorders. ###

Bresnahan Announces $200,000 for Local Head Start Programs

Position: The release announces federal Head Start grant funding for programs in Monroe and Lackawanna Counties and expresses support for continued robust federal funding for Head Start, including signing a Fiscal Year 2027 appropriations letter calling for such funding.

EAST STROUDSBURG, PA: Today, U.S. Representative Rob Bresnahan, Jr. (PA-08) announced over $200,000 in federal funding for Head Start programs in Monroe and Lackawanna Counties. The grants will help provide early childhood education, healthcare, nutrition, and family support services to children and families across the region. “Every child deserves the chance to walk into the classroom ready to learn and succeed,” said Rep. Bresnahan. “Head Start helps make that possible by giving young children and their families the support they need during some of the most important years of their lives. These grants will help strengthen that foundation for families across Northeastern Pennsylvania.” The grant awards include $217,747 for Pocono Services for Families and Children and $30,500 for the Agency for Community EmPOWERment (ACE) of NEPA. “We are incredibly grateful for this $217,747 supplemental investment in Pocono Services for Families and Children and our Head Start program,” said Kristi Hammond, MSW, Executive Director of Pocono Services for Families and Children. “These funds will allow us to make meaningful improvements to the environments and systems that support our children, families, and staff every day—from resurfacing the playground at the Eugenia S. Eden Early Learning Center in East Stroudsburg and the parking lot at our Ramsey Center in Stroudsburg, to strengthening our technology, cybersecurity, and financial management systems. Head Start is about much more than preparing children for kindergarten; it is about providing children and families with the comprehensive support and strong foundation they need to succeed. Investments like this help ensure that PSFC can continue providing safe, high-quality services to children and families throughout Monroe County. We appreciate the continued federal investment in Head Start and the recognition of how important these programs are to our local community.” “ACE of NEPA appreciates Congressman Bresnahan's continued support for Head Start and the children and families we serve,” said Jim Wansacz, Executive Director of ACE of NEPA. “This $30,500 supplemental nutrition award will support breastfeeding pods, parent nutrition education, and healthy-eating initiatives throughout northeastern Pennsylvania." Rep. Bresnahan has been a consistent supporter of Head Start. This year, he signed a Fiscal Year 2027 appropriations letter calling for robust federal funding to keep these programs strong. “Education is one of the best ways we can open doors for the next generation,” continued Rep. Bresnahan. “We need to make sure families, regardless of their circumstances, have access to the resources that help their children learn, grow, and reach their full potential. I’ll continue working to bring those opportunities back home to Northeastern Pennsylvania.” Head Start provides critical services for children from birth to age five, focusing on families with the greatest need. The program supports school readiness and gives children access to health screenings, meals, and family support services. Issues: Education

Bresnahan and President Trump Deliver on Promise to Reverse Obama-Era “Rain Tax” Mandate

Position: The release supports reversing Executive Order 13508 and the associated Chesapeake Bay stormwater fee mandate, which it describes as an unfunded federal mandate imposing fees on Luzerne County homeowners and businesses.

WASHINGTON, DC: Today, U.S. Representative Rob Bresnahan, Jr. (PA-08) joined President Donald J. Trump as he signed an executive order reversing the Obama-era executive order that created the “Rain Tax,” the unfunded federal stormwater mandate that has forced tens of thousands of homeowners and small business owners across Luzerne County to pay quarterly fees tied to the Chesapeake Bay cleanup efforts. The Chesapeake Bay is more than 200 miles from Northeastern Pennsylvania. This Executive Order removes the mandate established by Executive Order 13508, issued by President Obama, that threatened Northeastern Pennsylvania communities with fines if they did not comply. The Executive Order can be found here, and the fact sheet can be found here. “For too long, families in Luzerne County have opened their mailbox to find a bill for the rain that falls on their own roofs and driveways, all to fund a faraway cleanup effort that has fallen dramatically short of its goals after four decades and tens of billions of dollars,” said Rep. Bresnahan. “Today’s reversal is proof of what happens when you fight for solutions instead of just talking about it. I want to thank President Trump for listening to the people of Northeastern Pennsylvania and taking real action to end this unfunded mandate.” Delivering relief on the “Rain Tax” has been a top priority for Rep. Bresnahan since before he was sworn into office. He fought to keep this issue front and center for the White House and the Environmental Protection Agency (EPA) and worked alongside both toward today's executive order. Background The Rain Tax is the product of the Chesapeake Bay cleanup program, a more than 40-year-old effort that Washington and Harrisburg have steadily ramped up without a plan to pay for it, ultimately passing the bill onto local communities and property owners. In 2009, President Obama signed Executive Order 13508, directing federal agencies to accelerate enforcement for Bay cleanup. In December 2010, the EPA followed this with the Chesapeake Bay Total Maximum Daily Load (TMDL), a “pollution diet,” that the EPA itself described as “a keystone commitment of a federal strategy to meet President Obama's Executive Order 13508.” The agency was clear about its enforcement plan, promising it would “hold jurisdictions accountable for results along the way.” Pennsylvania has been a willing partner with the federal government. First signing the original Chesapeake Bay Agreement in 1983, the Commonwealth has committed, over and over, to plans to cut pollution. The Commonwealth kept committing even after acknowledging its 2019 Phase 3 Watershed Implementation Plan had an annual funding gap of $324 million. It most recently adopted the latest version of the revised Watershed Agreement in 2025 and Governor Shapiro chairs the Chesapeake Executive Council. With these stricter requirements being forced on local municipalities, 32 municipalities in Luzerne County banded together through the Wyoming Valley Sanitary Authority to comply with Municipal Separate Storm Sewer System (MS4) permit requirements. However, without federal or state funding to cover the cost of compliance, a stormwater fee, which became known as the Rain Tax, was established. The WVSA saved small towns from fines totaling up to $10,000 a day due to their action. The policy has been met with resistance and become a fight in Luzerne County, with many, including residents, acknowledging the benefits are limited while the cost is not. Residents wrote a letter to the Luzerne County Council to end the Rain Tax An "End the Rain Tax" group formed in 2019 in opposition to the new stormwater runoff fee In 2020, President Trump vowed to end the Rain Tax The issue has also threatened to spread outside of Luzerne County. In June 2025, the Scranton Times-Tribune reported Lackawanna County was working to enlist all 40 of its municipalities to back an application for a state grant to study the possibility of creating a countywide stormwater management plan, which has been met with local resistance. The fight has extended to Congress, where Rep. Bresnahan has been working with EPA officials to eliminate the Rain Tax Federal Mandate in PA-08. In March 2025, Rep. Bresnahan organized and hosted an environmental roundtable in Swiftwater, PA, bringing EPA Administrator Lee Zeldin to the Eighth District to hear directly from local officials about the Rain Tax burden. At that roundtable, Bresnahan said the effort was “an important step in unleashing energy dominance and eliminating the Rain Tax in PA-08.” On August 26, 2025, EPA's Region 3 office confirmed in writing to Rep. Bresnahan's office, which had been advocating to the EPA on the issue, that stormwater fees are not required by federal or state law, even as municipalities remain bound by strict pollution-reduction targets under threat of fines. After more than 40 years of effort and tens of billions of dollars in cumulative spending across state and federal partners, the results of the Chesapeake Bay cleanup have fallen short of its goals while regulation costs and pressure on individuals have intensified. The 1987 Chesapeake Bay Agreement promised a 40 percent reduction in nutrient pollution by 2000. The Chesapeake 2000 Agreement promised restored Bay water quality by 2010. The 2010 pollution diet set a midpoint of 60 percent of the necessary reductions by 2017 and a final deadline of full implementation by 2025. These were all missed. Pennsylvania has achieved only 29% of its nitrogen reduction goal. The Chesapeake Bay Program has now extended its deadlines to 2040. Water Infrastructure and Affordability Rep. Bresnahan has secured funding and worked to advance bipartisan legislation to modernize the local water and wastewater systems Northeastern Pennsylvania families depend on, and to keep costs down on their monthly bills, including: Funding secured in FY26: $1,000,000 for Dallas Area Municipal Authority Wastewater Infrastructure Expansion (Interior/Environment) — This funding will be used to repair, construct, and expand wastewater infrastructure of three municipal authorities: Harvey’s Lake, Dallas Area, and Wyoming Valley Sanitary Authorities. $1,250,000 for Eastern Pike County Sewer Extension (Interior/Environment) — This funding will be used to extend wastewater treatment from the Westfall Municipal Authority to connect the commercial and residential districts in both Matamoras Borough and Milford Borough. $1,250,000 for Monroe County Wastewater Treatment Project (Interior/Environment) — This funding will be used for wastewater treatment, demolition, of the existing wastewater plant at the end of its operational life, and construction of a new facility outside a flood zone. Funding requested in FY27: $1,700,000 for Honesdale Borough Stormwater Management Updates (Interior/Environment) — This funding will go to a project to install 30 new inlet boxes and the extension of culvert piping to effectively capture and redirect stormwater from areas currently experiencing uncontrolled runoff. Legislation Introduced: H.R. 6075 - Water Infrastructure Modernization Act — This bipartisan bill would give communities the flexibility to use new technology including real-time monitoring, leak detection, and predictive maintenance, to upgrade aging water systems Legislation Cosponsored: H.R. 4733 - Low-Income Household Water Assistance Program Establishment (LIHWAP) Act — This bipartisan bill would permanently reestablish LIHWAP, a program that assisted 1.5 million low-income households with water bills before expiring. H.R. 5661 - Water Preservation and Affordability Act — This bipartisan bill would update the Clean Water Act so federally funded water projects prioritize resource preservation techniques, including water reuse, energy efficiency, and stormwater mitigation. ###

Bresnahan Announces $475K for Luzerne County Community College Nursing Program

Position: The release announces a $475,175 federal HHS grant to Luzerne County Community College to expand its nursing program and supports federal investment in healthcare workforce training.

NANTICOKE, PA: Today, U.S. Representative Rob Bresnahan, Jr. (PA-08) announced that Luzerne County Community College (LCCC) has been awarded a $475,175 grant from the U.S. Department of Health and Human Services (HHS) to expand its nursing program. This grant comes through the Nurse Education, Practice, Quality and Retention – Workforce Expansion Program, a federal initiative focused on training more nurses to meet the nation’s growing healthcare workforce needs. “Luzerne County Community College is preparing the nurses our hospitals and healthcare providers need right here in Northeastern Pennsylvania,” said Rep. Bresnahan. “This funding will help more students get the training they need, fill good-paying nursing jobs, and strengthen the healthcare workforce our communities rely on every day. I’m proud to support LCCC and the students who will go on to serve families across our region.” LCCC will use the funding to increase enrollment, upgrade training equipment, and provide students with the training and support they need to enter the workforce in hospitals, clinics, and other healthcare settings. “Luzerne County Community College appreciates the continued efforts of Congressman Rob Bresnahan to secure federal funding for the expansion of the college’s nursing program to meet growing workforce needs of northeastern Pennsylvania’s healthcare economy,” said John Yudichak, President of LCCC. “The federal investment secured by Congressmen Bresnahan is an affirmation of the quality of LCCC’s nursing graduates and the critical role they play in delivering quality healthcare in northeastern Pennsylvania.” Issues: Education Healthcare

Bresnahan Champions Bipartisan Legislation to Give Controllers a Pilot’s-Eye View

Position: The release supports permanently establishing an FAA program allowing air traffic controllers to observe pilots during actual flights to improve coordination and communication between controllers and pilots.

WASHINGTON, DC: On Friday, September 4, U.S. Representative Rob Bresnahan, Jr. (PA-08) joined Reps. Nellie Pou (NJ-09) and Hillary Scholten (MI-03) to introduce the bipartisan Flight Logistics Initiative to Gain Heightened Travel Data and Enhance Communication Knowledge or FLIGHT DECK Act. The legislation would permanently establish a Federal Aviation Administration (FAA) training program that allows air traffic controllers to observe pilots during actual flights, giving controllers better firsthand experience with the demands pilots face in the air as they interact and coordinate with air traffic controllers on the ground. “Pilots and air traffic controllers work together every day to keep our skies safe, but very few see their partner’s side of the job,” said Rep. Bresnahan. “As a pilot, I’ve spent hundreds of hours talking to controllers over the radio, but touring a control tower gave me a whole new perspective on the work they do. The FLIGHT DECK Act gives controllers that same opportunity in the cockpit, helping pilots and controllers better understand each other’s responsibilities, challenges, and workload. When both sides can see the full picture, our entire aviation system is safer, including the people who rely on it.” The FAA would develop the training program in consultation with air traffic controllers, pilots, and flight crews with participating airlines. After the program’s first year, the FAA would report to Congress on participation and any barriers preventing controllers or aircraft operators from participating. The legislation is supported by the Wilkes-Barre/Scranton International Airport’s (AVP) chapter of the National Air Traffic Controllers Association (NATCA). “We strongly support Flight Deck Training and the opportunity it provides air traffic controllers to experience firsthand what happens on the other side of the headset,” said Lenny Ameika, AVP NATCA President. “Every transmission between a controller and a pilot involves responsibilities and tasks that the other side may never see. Giving controllers the opportunity to spend time on the flight deck helps us better understand those demands, strengthens communication, and ultimately makes us better at working together. This was a valuable program before COVID, and restoring it would provide real benefits to controllers, pilots, and the National Airspace System as a whole.” “Air traffic controllers and pilots depend on each other every minute of every flight. Giving controllers firsthand flight deck experience can help both sides better understand the challenges the other faces and so ultimately make our skies safer,” said Rep. Pou. “We ask an enormous amount of our air traffic controllers while our aviation system faces serious staffing and broader infrastructure challenges. Our bipartisan FLIGHT DECK bill will give controllers another tool to do their jobs and represents a practical way to strengthen communication between the people most responsible for keeping American skies the safest on earth.” “Our hardworking aviation professionals rely on their team and training to keep our skies safe. Expanding training opportunities at the flight deck is critical so that air traffic controllers and pilots can ensure it remains safer than ever before to fly,” said Rep. Scholten. “I’m proud to support the FLIGHT DECK Act to allow air traffic controllers to observe pilots’ work at the flight deck. This will bridge the gap between controllers and pilots alike, and help our controllers understand in-flight demands. This bipartisan solution will keep our aviation system safe and reliable, including for folks who rely on air travel.” Issues: Transportation and Infrastructure

Bresnahan Introduces Bill to Cap Insulin Costs for Working Families

Position: Introduces the INSULIN Act, which would cap out-of-pocket insulin costs at $35 or 25% of list price per month for Americans with diabetes, waive deductibles for insulin, and pursue measures to increase competition and lower prices over time.

WASHINGTON, DC: Today, U.S. Representative Rob Bresnahan, Jr. (PA-08) introduced the INSULIN Act, bipartisan legislation to cap out-of-pocket insulin costs at $35, or 25% of the list price per month, for all Americans with diabetes. Rep. Bresnahan introduced the legislation alongside Reps. Mariannette Miller-Meeks (IA-01), Kim Schrier (WA-08), Diana DeGette (CO-01), and Angie Craig (MN-02). “Diabetes stole the lives of 100,000 Americans last year. Tens of millions of Americans are living with diabetes, and for many, insulin is a matter of life and death,” said Rep. Bresnahan. “No American should have to choose between paying the bills and getting the insulin they need, or risk their life rationing the doses they have left. This legislation isn’t just a Band-Aid on the problem. It delivers immediate relief for patients and reforms that will increase competition and drive down prices over the long term. Lowering the cost of insulin puts money back where it belongs: in the pockets of working families who need every dollar they earn. Middlemen and big corporations shouldn’t be making extra cash off the backs of working people who rely on insulin to survive.” “As a doctor, I have spent my career fighting for patients, and I've watched too many of them ration a hundred-year-old medicine because the price tag made it impossible to afford,” said Rep. Miller-Meeks. “That's not right, and it never should have taken this long to fix. I'm proud to lead this effort in the House, and I won't stop until every American with diabetes can afford the insulin that keeps them alive.” “As a doctor with Type 1 diabetes who depends on insulin, I understand the immediate need to bring down the cost of insulin – especially at a time when so many Americans are already struggling with high costs,” said Rep. Schrier. “I am proud to introduce this groundbreaking bipartisan legislation that will cap the price of insulin for all Americans and make a meaningful difference in the lives and the health of everyone in our districts." “Insulin insecurity is not a partisan issue. It’s a life-or-death issue,” said Rep. DeGette. “I have fought for years to lower the price of insulin for the over 40 million Americans living with diabetes. I have met with too many Coloradans who have shared their painful experience of rationing their insulin so they could afford groceries. No one in America should be forced to choose between their life-saving medication or feeding their families.” Currently, insulin costs are capped at $35 per month for people on Medicare, and nearly 30 states have separate price caps for state-regulated and private plans. The INSULIN Act would limit out-of-pocket costs for patients with diabetes by ensuring that group and individual market health plans waive any deductible and limit cost-sharing to no more than $35 or 25% of list price per month for at least one insulin of each type and dosage form. The bipartisan bill would also: Require a study report on uninsured Americans who use insulin, including where they live, why they’re uninsured, and demographic and income data. Create a new expedited FDA approval pathway to get biosimilar insulin to market more quickly. Establish an insulin resource center and hotline to connect uninsured diabetes patients with diabetes resources and programs. The INSULIN ACT is endorsed by American Diabetes Association, Breakthrough T1D, Endocrine Society, National Kidney Foundation, The DiaTribe Foundation, Time in Range Coalition, Diabetes Advocacy Alliance, Diabetes Patient Advocacy Council, Diabetes Leadership Council, You’re Just My Type, Association of Diabetes Care and Education Specialists, and AARP. “The American Diabetes Association (ADA) appreciates and applauds the House’s bipartisan introduction of the INSULIN Act, which would limit out-of-pocket insulin costs for patients at $35 a month,” said Lisa Murdock, American Diabetes Association Chief Advocacy Officer. “A recent survey, commissioned by ADA, showed that 40% of insulin users currently pay $150 each month, and there is widespread bipartisan support across the U.S. for making insulin affordable. The INSULIN Act would ensure no one has to choose between paying for insulin and other necessities. This bill puts people first and is a commonsense way to lower health care costs for Americans depending on insulin to live.” “For the millions of Americans who rely on insulin every day, no one should have to choose between paying for their medication and meeting other basic needs,” said Robert Lash, MD, Endocrine Society Chief Medical Officer. “The Endocrine Society applauds Representatives DeGette, Schrier, Miller-Meeks, and Bresnahan for introducing the INSULIN Act, which would help make insulin more affordable for people with private insurance while connecting uninsured patients to resources that can help them access this lifesaving medication. This bipartisan legislation is an important step toward ensuring that all people who need insulin can obtain it and stay healthy.” “The Diabetes Leadership Council (DLC) and Diabetes Patient Advocacy Coalition (DPAC) applaud and thank Representatives DeGette, Miller-Meeks, Schrier, and Bresnahan for introducing the INSULIN Act of 2026,” said George Huntley, DLC and DPAC Chief Executive Officer. “This legislation will greatly improve access to affordable insulins for people living with diabetes, and it is time that the $35 monthly insulin co-pay cap apply to everyone as it does to Medicare beneficiaries today. We look forward to working to get this legislation across the finish line before the end of the 119th Congress.” “For the more than 1.5 million Americans with type one diabetes (T1D), insulin access is life-or-death,” said Lynn Starr, Breakthrough T1D Chief Global Advocacy Officer. “By capping out-of-pocket cost at $35, the INSULIN Act ensures that people have dependable, affordable access to the insulin they require to live. We applaud Representatives DeGette, Miller-Meeks, Schrier, Bresnahan, and Craig for introducing the House INSULIN Act and urge their colleagues to stand with them on the side of all those living with T1D. While there is still more work to be done, we are hopeful that, together with the Senate, we will finally have the access to affordable insulin the entire T1D community deserves and depends on.” ### Issues: Healthcare

ICYMI: Bresnahan’s Local Farmers Feeding Our Community Act Passes in House Farm Bill

WASHINGTON, DC: Last week, U.S. Representative Rob Bresnahan, Jr. (PA-08) and the House of Representatives passed the Farm Bill by a bipartisan vote of 224-200. The package included Rep. Bresnahan’s bipartisan legislation, the Local Farmers Feeding our Communities Act, which will help build stronger connections between local producers and community food programs, expanding markets and improving access to healthy food for those in need. “We owe it to our farmers to make sure federal policy works as hard as they do,” said Rep. Bresnahan. “I’m proud this final bill includes my bipartisan legislation to connect families in need with fresh food grown right here in our communities. This Farm Bill delivers real support for farmers here in Northeastern Pennsylvania and across the country by addressing the challenges they’re facing and advancing practical, bipartisan solutions for our rural communities.” Image

House Passes Farm Bill, Bresnahan-Led Local Farmers Feeding Our Community Act

WASHINGTON, DC: Today, U.S. Representative Rob Bresnahan, Jr. (PA-08) and the House of Representatives passed the Farm, Food, and National Security Act of 2026, this year’s Farm Bill, by a bipartisan vote of 224-200. The package included Rep. Bresnahan’s bipartisan legislation, the Local Farmers Feeding our Communities Act, which will help build stronger connections between local producers, and community food programs, expanding markets and improving access to healthy food for those in need. “We owe it to our farmers to make sure federal policy works as hard as they do,” said Rep. Bresnahan. “I’m proud this final bill includes my bipartisan legislation to connect families in need with fresh food grown right here in our communities. This Farm Bill delivers real support for farmers here in Northeastern Pennsylvania and across the country by addressing the challenges they’re facing and advancing practical, bipartisan solutions for our rural communities.” The Local Farmers Feeding our Communities Act will allow states, through USDA, to establish cooperative agreements connecting local farmers and producers with local food distribution organizations. Through these agreements, funds will be used to purchase local, fresh, and minimally processed foods like seafood, meat, milk, cheese, eggs, fruit, and poultry. The bill also sets aside a portion of these funds to purchase food specifically from small, mid-size, beginning, and veteran farmers. Rep. Bresnahan first introduced the Local Farmers Feeding our Communities Act on July 30, 2025. In August, he held a roundtable with local farmers, food banks, and community food advocates to share firsthand accounts on the importance of supporting local agriculture and food access. His legislation was included in the Farm Bill, which passed out of the House Committee on Agriculture on March 5, 2026. The Farm, Food, and National Security Act of 2026 also: Creates a standing lock grant authority for future disaster payments. Emphasized science, technology, and innovation, including within the conservation practice standards establishment and review processes. Prioritizes innovation and improves access to nutrition programs that support our farmers and neighbors in need. Creates a stronger, more sustainable connection between health and federal nutrition programs. Provides new resources to new, young, beginning, and veteran farmers in their transition to farming and ranching. Strengthens broadband connectivity to rural communities. Protects access to healthcare in rural America. Enhances efforts to meet the childcare demands of rural areas. Addresses existing workforce challenges within rural communities to effectively meet their needs. Invests in and strengthens rural water infrastructure. Supports research and development for the specialty crop industry. Allows for critical cost and energy savings by increasing access to the Rural Energy for America Program (REAP). Supports specialty crop producers by directing Specialty Crop Block Grant program administrators to consult with producers when setting priorities for the program. Maintains funding for the Local Agriculture Market Program and improves program delivery through simplified applications. Continues support for organic production through the National Organic Program, Organic Production and Market Data Initiative, and National Organic Certification Cost-Share Program. Enhances protections for dogs covered under the Animal Welfare Act (AWA). Directing the Secretary of Agriculture to carry out a national campaign to increase public knowledge on the dangers of the invasive species known as spotted lanternflies. ### Issues: Agriculture Congress