No one in South Central 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.

Families across South Central Pennsylvania are facing higher health care costs while major federal Medicaid changes move toward implementation. Rep. Scott Perry voted YES on H.R. 1 twice — including the final legislation that enacted sweeping Medicaid changes. Then, after the enhanced premium tax credits expired, Perry voted NO on H.R. 1834, House legislation that included a three-year extension of those credits.

After the enhanced federal premium tax credits expired at the end of 2025, Pennie enrollees saw their costs double on average in 2026. At the beginning of 2026 Open Enrollment, 28,634 people in Pennsylvania’s 10th Congressional District were enrolled in health coverage through Pennie. By March 24, 7,452 had already terminated their coverage — 26% of the district’s starting enrollment. That was slightly higher than the 25% termination rate statewide. Pennie’s district-level data also show that 23% of PA-10 terminations were among people ages 55–64, meaning nearly one in four people who terminated coverage were older adults and making it harder for this age group to maintain affordable health insurance.

Families across PA-10 are also paying substantially higher premiums. According to Pennie data, average monthly premium costs per enrollee increased by $225 in Cumberland County, $207 in Dauphin County, and $228 in York County.

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 18,720 people in PA-10 could lose Medicaid coverage as the law is implemented.

Local hospitals are at risk too. Penn State Health Hampden Medical Center and Penn State Milton S. Hershey Medical Center 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-10 hospitals by approximately $44 million each year. Perry voted YES on the May 22, 2025 House version of H.R. 1, which passed 215–214. He voted YES again on July 3, 2025, when the House approved the Senate-amended final legislation 218–214 and sent it to the President.

Perry's record also includes a January 2026 vote on Marketplace affordability. After the enhanced premium tax credits expired, the House considered H.R. 1834, legislation that included a three-year extension of the enhanced credits through 2028. Perry voted NO.

Congress can still address both Medicaid coverage and Marketplace affordability. Lawmakers can change Medicaid provisions before more Pennsylvanians lose coverage, restore enhanced premium assistance for Marketplace coverage, and protect hospitals and other health care providers from additional financial pressure.

Tell Rep. Perry to help reverse harmful Medicaid changes, support affordable Marketplace coverage, and protect the hospitals and health care providers South Central Pennsylvania depends on.

Tell Rep. Perry to address health care affordability and access in PA-10:

• Reverse harmful Medicaid changes before thousands of PA-10 residents potentially lose coverage and local hospitals face even greater financial pressure.
• Support a solution that makes Marketplace coverage more affordable for families across South Central Pennsylvania.
• Protect PA-10 hospitals and health care providers from federal changes that increase uncompensated care or shift additional costs onto Pennsylvania families and the Commonwealth.

PA-10 families are facing higher health care costs and potential coverage losses. Tell Rep. Perry to help protect health care access and affordability in South Central Pennsylvania.