Lehigh Valley & Poconos: Rep. Mackenzie Voted for Health Care Cuts. Tell Him to Fix the Damage.
No one in Northeastern Pennsylvania, or anywhere in Pennsylvania, should have to lose health coverage because Congress failed to make health care affordable or protect the programs families depend on.
At the beginning of 2026 Open Enrollment, 28,893 people in Pennsylvania’s 8th Congressional District were enrolled in health coverage through Pennie. By March 24, 7,508 had already terminated their coverage — 26% of the district’s starting enrollment.
Since then, the health care affordability crisis has only deepened. Pennie now reports that, as of September 1, nearly 202,000 Pennsylvanians had canceled coverage. The enhanced federal premium tax credits expired at the end of 2025, and Pennie enrollees saw their costs double on average in 2026. Increased costs are the leading reason people are canceling coverage.
And the pain does not stop there. H.R. 1 — the One Big Beautiful Bill Act — enacted sweeping Medicaid changes that threaten coverage and health care providers across Pennsylvania. The Commonwealth estimates that 21,637 people in PA-08 could lose Medicaid coverage as the law is implemented.
Local hospitals are at risk too. Geisinger Community Medical Center, Geisinger Wyoming Valley Medical Center, Lehigh Valley Hospital Hazleton, and Moses Taylor Hospital are among 47 Pennsylvania hospitals identified as having moderate to significant risk factors for closure due to Medicaid cuts. PHAN estimates that the federal health care changes could increase uncompensated care for PA-08 hospitals by approximately $46 million each year. Want to learn more? Read the Pennsylvania Policy Center’s report, From Progress to Peril, on how federal health care changes threaten coverage, affordability, and Pennsylvania’s health care system.
Congress can still act. Lawmakers can restore enhanced premium tax credits that helped families afford Pennie coverage, reverse harmful Medicaid cuts, and protect the hospitals and health care providers that communities rely on.
Congressman Rob Bresnahan’s record requires the full story. He voted YES on the original House bill, helping it pass 215–214 and advance to the Senate. He voted YES again on the Senate-amended final bill. Months later, after the enhanced premium tax credits expired, Bresnahan voted with a bipartisan House majority for a clean three-year extension, saying his constituents needed protection from immediate premium spikes and calling for a bipartisan solution.
That later vote was a step in the right direction, but it does not erase two YES votes on H.R. 1, reverse the Medicaid cuts now in law, or by itself restore the expired tax credits. Bresnahan has acknowledged that NEPA families are facing immediate premium spikes. PA-08 families now need him to use that urgency to press House leadership and help deliver a solution that becomes law.
Tell Rep. Bresnahan to work with House leadership and Republican and Democratic colleagues to:
- Restore enhanced premium tax credits so families across Northeastern Pennsylvania can afford Pennie coverage again.
- Reverse or stop harmful Medicaid cuts before they push thousands of PA-08 residents off their health insurance and increase pressure on local providers.
- Build on the bipartisan coalition he joined on premium tax credits to press House leadership, recruit Republican and Democratic votes, and move a full health care solution that can actually become law.
These steps would lower health insurance costs for Pennsylvania families, help prevent even more people from becoming uninsured, and reduce growing financial pressure on hospitals, state budgets, and health care providers across the Commonwealth.
Send your message today and tell Congressman Bresnahan: PA-08 needs more than a later vote after costs have already doubled. We need leadership that delivers affordable health care.