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November 13, 2025

Bringing you the latest news impacting our network from Congress and the Administration.

Federal Government Shutdown Ends

Federal Government Shutdown: The Latest

Where do things stand?

After 43 days, the longest federal government shutdown in U.S. history has officially ended. President Donald Trump signed a bipartisan spending package Wednesday night to reopen the government, following a 222–209 House vote earlier in the day and Senate passage on Monday. Of interest to LSA members, the deal includes:

  • A short-term continuing resolution (CR) funding most agencies through January 30
  • Full-year funding for SNAP benefits through September 2026
  • Removal of budget requirements stemming from H.R. 1 that would have forced $500 billion in cuts to Medicare.
  • Health specific provisions extended through January include:

    • Funding for community health centers, the National Health Service Corps, and teaching health centers that educate graduate medical students
    • Telehealth flexibilities in Medicare allowing doctors to bill for remote services

    • The Acute Hospital-at-Home initiative allowing Medicare to reimburse for such services

    Senate passage of the bill was enabled by seven Democrats and one independent joining Republicans.  While this signals progress, the Affordable Care Act (ACA) subsidy extension remains unresolved.

     

    What now?

    The House returned from an eight-week recess to pass the measure, with nearly all Republicans and six moderate Democrats voting in favor. Speaker Mike Johnson called the outcome a “Republican victory” and reiterated opposition to ACA premium tax credits without reforms. Senate Majority Leader John Thune pledged to hold a vote on ACA subsidies by mid-December, but Johnson has refused to guarantee a House vote.

     

    What's at stake going forward?

    The funding package ends widespread disruptions, but ACA premium tax credits expire at year-end. Without action, more than 20 million Americans could face steep premium hikes, and the Congressional Budget Office warns millions may lose coverage over the next decade.

     

    “Capitol Conversations”: Join Us on November 20

    Join us for the next webinar in our “Capitol Conversations” series on November 20, 2025, from 1–2 p.m. ET for a timely discussion about navigating critical shortages in the healthcare workforce. 

    What We're Reading

    • Medicaid/work requirements: A Guide to Reducing Coverage Losses Through Effective Implementation of Medicaid’s New Work Requirement
    • Workforce: Rural, underserved hospitals hit hard by new H1-B visa fee
    • Rural Health Transformation: States Submit Plans for Rural Health Transformation Funding
    • Housing: Trump Administration Expected to Drastically Cut Housing Grants
    • Technology: Nursing homes hesitant to adopt virtual nursing due to cost and concerns about effectiveness 
    Register Here!

    For more information, please contact Sarah Dobson, Senior Director of Public Policy and Advocacy, or Bill Kallestad, Senior Director, Public Policy and Advocacy, Disability Network.

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