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The Latest

From the Committee

Nov 21, 2025
In the News
Rep. Fedorchak Op-Ed: Time to Fix the Unaffordable Care Act Block | Text

WASHINGTON, D.C. – The following op-ed by Congresswoman Julie Fedorchak (ND-AL) appeared in the Bismarck Tribune this week.

“Our health care system is broken, and North Dakotans know it.

“The law that was supposed to make things better—the Affordable Care Act (ACA)—has not lived up to its name.

“‘If you like your plan, you can keep it,’ leaders assured us.

“‘A typical family will save up to $2,500 a year,’ they promised.

“‘The ACA will help bring down health care costs and even reduce the deficit,’ they claimed.

“Fifteen years later, none of that matches what North Dakotans have lived. Instead, we pay higher premiums and have fewer choices. And Washington is trying to hide the true costs with more and more subsidies instead of fixing the underlying problem.

“The latest debate in Congress is over something called the Enhanced Premium Tax Credits. You’ve probably heard about these temporary credits and how they’re set to expire on January 1, 2026. Here’s what you’re not hearing:

“First, the original Affordable Care Act subsidies do not expire. That support remains in law for everyone who qualifies, including the majority of the 42,000 North Dakotans who used the exchange last year.

“What’s being debated now are the temporary extra subsidies Democrats added during COVID to make the credits more generous and expand eligibility to people earning beyond 400 percent of the federal poverty level. In North Dakota, that means a family of four earning over $125,000 a year.

“From the beginning, Democrats wrote these enhanced subsidies to expire. Now, many of those same lawmakers are exasperated by the expiration date they set themselves!

“Second, making these temporary subsidies permanent is enormously expensive: $350 billion over the next 10 years. And despite that massive taxpayer investment, experience proves just one thing: Americans will continue to pay more—a lot more—for health care.

“Since the enhanced credits were enacted in 2021, insurance companies have raised premiums by 31 percent nationally.

“Third, these payments don’t show up in your wallet to buy down the cost of your healthcare. This money goes directly to insurance companies, with no requirement that it’s used to reduce prices or improve care.

“Lastly, massive fraud plagues this program. ‘Phantom Enrollees’—people enrolled on paper but who have zero claims—now make up roughly 35 percent of marketplace enrollees. National insurance companies get paid for millions of nonexistent ‘phantom’ patients, while North Dakota farm families and small business owners continue to pay rising premiums. This makes no sense.

“Some in Washington celebrate all this and call it ‘affordable.’ North Dakotans know better. Pouring more taxpayer money into a program every year to make it look affordable, isn’t affordable at all.

“Clearly, we need an off ramp from these massive payouts to insurance companies. They aren’t working. So, what are the alternatives?

“Republicans have been working for years on reforms to drive down costs, increase transparency, and put patients back in charge. In fact, we passed several improvements in the Working Families Tax Cut plan (One Big Beautiful Bill) earlier this year. According to the nonpartisan Congressional Budget Office (CBO), our House-passed reforms to crack down on fraud and support cost sharing reductions would have reduced ACA premiums by nearly 13 percent and saved taxpayers more than $130 billion over 10 years. Sadly, Democrats stripped these out of the final bill in the Senate. These reforms are a good starting point.

“Importantly, we should direct tax credits to individuals, not insurance companies, and strengthen direct-to-patient tools like Health Savings Accounts and flexible spending accounts. Let’s put families back in the driver seat of their own care and encourage healthier decisions.

“And while we work toward these fundamental changes, we have other bipartisan reforms ready to go:

  • Price transparency legislation—including the Lower Prices, More Transparency Act—which passed the House last year to give patients clear information to compare costs and quality.  
  • Comprehensive PBM reform to end practices that drive up drug prices.  
  • Patent reform to increase the number of lower-cost generic medications available to patients.  
  • 340B reform to direct discounts to patients and strengthen the rural hospitals the program was designed to support.  
  • Prior authorization reform to stop unnecessary delays that prevent patients from getting timely care.

“North Dakotans, and Americans everywhere, are fed up with our health care system. It’s time for all stakeholders in the system, and leaders in Washington, to move beyond the superficial talking points to real reforms that make health care affordable.” 

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More News & Announcements


Subcommittee on CMT Holds Hearing on Time, Travel, and Tourism

WASHINGTON, D.C. – Today, Congressman Gus Bilirakis (FL-12), Chairman of the Subcommittee on Commerce, Manufacturing, and Trade, led a hearing titled Daylight and Destinations: Examining Time, Travel, and Tourism. “Travel and tourism are vital engines for local communities across the country and for our national economy. During this week’s CMT hearing, we discussed the importance of programs such as Brand USA and how Congress can strengthen the travel and tourism industries,”  said Chairman Bilirakis. “We also examined a range of perspectives on Daylight Saving Time—a practice that touches nearly every American and merits careful evaluation. Our discussion focused on its real-world impacts and the factors Congress must consider as we assess potential reforms. It was a productive and insightful dialogue.” Watch the full hearing here. Below are key excerpts from today’s hearing: Congressman Tom Kean (NJ-07): “Miss Maietta, the state of New Jersey is pleased to host eight matches of the 2026 FIFA World Cup. The hospitality industry is critical to hosting these important matches. Could you please share how the hospitality industry is preparing for these highly anticipated events?” Ms. Rosanna Maietta: “We are accustomed to holding and hosting big events all the time, but of course, bringing in so many people at the same time does present some unique challenges, but also opportunities. Right now, our industry is working very closely with law enforcement, city officials, and all stakeholders involved to ensure that we are prepared. I would encourage those lines of communication to stay open. Thank you for serving on the [2026 FIFA World Cup] Caucus. We commend the administration for setting up task forces around these events to ensure that they go off without a hitch.” Congressman Russell Fry (SC-07): “We have roughly 790,000 people that live in the district, but every year the Myrtle Beach area sees 18 million come to our area. If you take it proportionally, there are 20 visitors for every one resident. Tourism in the Grand Strand generates tens of billions of dollars in economic impact and supports tens of thousands of jobs. In the district, we talk about tourism, but we’re really talking about the livelihoods of the folks that I represent.” Congressman Gabe Evans (CO-08): “What happens at the local level when a hotel or some other sort of lodging venue closes? Can you speak on the impact that that has on a local economy?” Ms. Maietta: “Operating costs have risen four times faster than revenue in the last five years. What we are seeing is small businesses—our industry is primarily made up of small businesses—simply can’t afford to stay open. So, we’ve seen closures, and that impacts jobs and the local community that relies on the hotel to create more economic flow.” ###



Chairman Bilirakis Delivers Opening Statement at Subcommittee on Commerce, Manufacturing, and Trade Hearing on Time, Travel, and Tourism

WASHINGTON, D.C.  – Congressman Gus Bilirakis (FL-12), Chairman of the Subcommittee on Commerce, Manufacturing, and Trade, delivered the following opening statement at today’s hearing titled Daylight and Destinations: Examining Time, Travel, and Tourism. Subcommittee Chairman Bilirakis’s opening statement as prepared for delivery:  “Good morning, and welcome to today’s hearing examining time, travel, and tourism and how they can strengthen our economy and our communities. Thank you to our witnesses for their testimony. “For me, this topic hits home. I grew up in Tarpon Springs, Florida, where the Sponge Docks and our annual Epiphany celebration have welcomed visitors from around the world for generations. In Florida’s 12th District of Citrus, Hernando, and Pasco Counties—tourism supports family-owned restaurants, hotels, and outfitters, helping to sustain our Nature Coast way of life.  “In Crystal River you can swim with the manatees. In Weeki Wachee Springs, you can see the famous live Mermaid show. And in Pasco County is home to a vibrant sports tourism industry with countless kayaking waterways and the AdventHealth Ice Rink. “To further highlight the importance of tourism to the State of Florida, I’d like to introduce for the record a study commissioned by Visit Florida showing tourism’s economic impact in the state; as well as Visit Florida’s Marketing Effectiveness survey revealing tourist preferences and ways to boost demand. (so ordered). “Nationwide, travelers spent roughly $1.3 trillion last year, generating nearly $3 trillion in economic output and supporting over 15 million jobs. International visitors alone spent over $250 billion. As we prepare for the 2026 FIFA World Cup and the 2028 Los Angeles Olympics, we have a once-in-a-generation runway to welcome the world and spread those benefits to communities large and small. “A critical tool here is Brand USA, our public-private partnership that markets American destinations abroad. I was proud to author the bipartisan Travel Promotion, Enhancement, and Modernization Act of 2014 to reauthorize Brand USA, because it helps attract visitors without relying on taxpayer dollars for funding. We should ensure Brand USA remains strong and accountable as the global competition for travelers intensifies. To achieve that, I filed legislation yesterday with Mrs. Castor to increase funding for Brand USA, as we gear up for the America 250 celebrations. “Today we’ll also examine the tradeoffs to commerce, health, and safety that come with Daylight Saving Time and any adjustments to our clock changing practices. Many argue that more evening daylight boosts consumer activity and tourism; others raise valid concerns about sleep, road safety, and school routines. “Our job is to take actions that help American workers, businesses, and visitors alike, so we can deliver wins for communities like mine and yours—giving families and businesses opportunity and certainty, whether we ‘lock the clock’ or maintain the status quo.” ###



Nov 20, 2025
On the House Floor

Chairman Guthrie, Speaker Johnson, and Reps. Latta and Pfluger Celebrate House Passage of Bills to Unleash American Energy

WASHINGTON, D.C. – This week, Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, issued the following statement following the House passage of H.R. 3109, the REFINER Act, led by Congressman Bob Latta (OH-05) and H.R.1949, the Unlocking our Domestic LNG Potential Act, led by Congressman August Pfluger (TX-11). Both pieces of legislation passed the House with bipartisan support: the REFINER Act, passed by a vote of 230 Yeas to 176 Nays, and the Unlocking our Domestic LNG Potential Act by a vote of 217 Yeas to 188 Nays. “By unleashing American energy, House Republicans are leading the way to support our nation’s energy security, strengthen our grid, and lower prices for hard-working families,” said Chairman Guthrie. “The REFINER Act will help to ensure our refineries are being used effectively to produce the oil, gas, and other critical feedstocks we rely upon while the Unlocking our Domestic LNG Potential Act expands American energy production and infrastructure by removing U.S. LNG export restrictions, which the Biden-Harris Administration politicized and abused.” “Today, House Republicans secured another commonsense solution to continue our success in bringing down energy costs and fuel our economy. The House passed the Unlocking our Domestic LNG Potential Act and the REFINER Act to deregulate, evaluate, and expand our capabilities so we can harness the full potential of American energy,” said Speaker Johnson. “These measures advance more of President Trump’s executive orders and energy dominance agenda to increase American energy production, create jobs, strengthen national security, and secure reliable, affordable energy to power America’s homes, businesses, and economy.” “As energy demand grows, we have to ensure our refining capacity grows with it to maintain America’s energy dominance,” said Chairman Latta. “The REFINER Act will provide the data and insight needed to guide decisions that reinforce our energy infrastructure and help keep fuel costs low for American families. I thank my House colleagues for supporting and passing my bill and urge my colleagues in the Senate to pass this legislation as soon as possible,” “Today's House passage of my Unlocking Our Domestic LNG Potential Act is another major victory in achieving American energy dominance. My legislation reforms the broken, politically weaponized approval process so we can streamline permitting for exporting LNG once and for all,” said Congressman Pfluger. “It's simple: Exporting American LNG strengthens our economy, stabilizes prices, drives much-needed investment in energy infrastructure, and bolsters the energy security of our global partners. I thank my colleagues for supporting this critical legislation, and I urge its swift passage in the Senate under Senator Scott's strong leadership.” Background on H.R. 3109: Over the last several years, our nation’s refining capacity has shrunk due to onerous Federal and State policies that make it prohibitively difficult to operate. From 2020 to 2022, refining capacity in the United States decreased by more than one million barrels of fuel per day, and the number of refineries dropped from 135 to 128. The REFINER Act would require the National Petroleum Council to collect and examine critical information regarding the role of petrochemical refineries in the U.S., and their contributions to energy security, reliability, and affordability. The report must analyze opportunities to expand capacity, as well as current risks to refineries, including negative policy impacts. Background on H.R. 1949: In January 2024, President Biden announced an indefinite ban on the issuance of export permits to non-FTA countries while it conducted a review to consider the “climate impacts” of natural gas exports. This politically motivated ban threatened the American economy, discouraged investment in natural gas production and processing, and harmed our allies in Europe working to lower their consumption of Russian gas. The Unlocking our Domestic LNG Potential Act amends the Natural Gas Act to repeal all restrictions on the import and export of natural gas, effectively overturning the Biden-Harris Administration’s attempt to undermine U.S. domestic energy production. Under this legislation, FERC would have the exclusive authority to approve or deny any application for the siting, construction, expansion, or operation of a facility to export natural gas from the U.S. to a foreign country or import natural gas from a foreign country. ###


Trending Subcommittees

Commerce, Manufacturing, and Trade


6 Updates

Interstate and foreign commerce, including all trade matters within the jurisdiction of the full committee; consumer protection, including privacy matters generally; data security; motor vehicle safety; regulation of commercial practices (the Federal Trade Commission), including sports-related matters; consumer product safety (the Consumer Product Safety Commission); product liability; and regulation of travel, tourism, and time. The Subcommittee’s jurisdiction can be directly traced to Congress’ constitutional authority “to regulate Commerce with foreign nations, and among the several States, and with the Indian Tribes.”


Communications & Technology


5 Updates

Electronic communications, both Interstate and foreign, including voice, video, audio and data, whether transmitted by wire or wirelessly, and whether transmitted by telecommunications, commercial or private mobile service, broadcast, cable, satellite, microwave, or other mode; technology generally; emergency and public safety communications; cybersecurity, privacy, and data security; the Federal Communications Commission, the National Telecommunications and Information Administration, the Office of Emergency Communications in the Department of Homeland Security; and all aspects of the above-referenced jurisdiction related to the Department of Homeland Security.


Energy


7 Updates

National Energy Policy, energy infrastructure and security, energy related Agencies and Commissions, all laws, programs, and government activities affecting energy matters. National Energy Policy focuses on fossil energy; renewable energy; nuclear energy; energy conservation, utility issues, including but not limited to interstate energy compacts; energy generation, marketing, reliability, transmission, siting, exploration, production, efficiency, cybersecurity, and ratemaking for all generated power. Energy infrastructure and security focuses on pipelines, the strategic petroleum reserve, nuclear facilities, and cybersecurity for our nation’s grid. Our jurisdiction also includes all aspects of the above-referenced jurisdiction related to the Department of Homeland Security. Agencies and Commissions in our jurisdiction include: The US Department of Energy, the Nuclear Regulatory Commission; and the Federal Energy Regulatory Commission.


Recent Letters


Nov 17, 2025
Health

Chairmen Guthrie and Joyce Pen Letter to CMS Following HHS Announcement Decertifying South Florida OPO and Implementing Further Safety Guidelines for the Organ Procurement and Transplant System

WASHINGTON, D.C.  – Today, Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, and Congressman John Joyce, M.D. (PA-13), Chairman of the Subcommittee on Oversight and Investigations, sent a letter to the Centers for Medicare and Medicaid Services (CMS) requesting a briefing to better understand the Department of Health and Human Services’ (HHS) recent actions and ongoing work to enhance safety within the organ procurement and transplantation system. On Thursday, September 18, 2025, the Department of Health and Human Services (HHS) announced major efforts to improve safety, transparency, and efficiency within the organ procurement and transplantation system, including the decertification of an organ procurement organization (OPO) for the first time in U.S. history. According to the announcement , the decision was made “after an investigation uncovered years of unsafe practices, poor training, chronic underperformance, understaffing, and paperwork errors.” The Committee has a history of ensuring patient safety remains the highest priority in our organ procurement and transplantation system, as evident from the Committee’s work last Congress on organ transplantation and donation issues as well as its oversight this Congress. As a part of its ongoing investigation, the Committee requests that CMS respond to questions, including those related to the decertification of the OPO in South Florida and the prevalence of incidents similar to those outlined in the Health Resources and Services Administration’s (HRSA) investigative report, to ensure patient safety remains a top priority. Read the full letter HERE . “While the Committee applauds efforts taken by CMS to uphold the highest standards of care to which all OPOs are expected to adhere, HHS’s announcement decertifying the Life Alliance Organ Recovery Agency illustrates the urgency of this moment and why the subcommittee is not finished with our oversight of the organ transplant system,” said Chairmen Guthrie and Joyce. “It is our moral obligation as members of Congress to establish safeguards and prevent these harmful practices from persisting further, and we look forward to obtaining answers from the agency about the prevalence of these incidents, as well as how CMS plans to proceed with prioritizing patient safety first and foremost.” Background: During the 118th Congress, the Committee on Energy and Commerce led the passage of the Securing the U.S. Organ Procurement and Transplantation Network Act to both modernize the Organ Procurement and Transplantation Network (OPTN) and allow HRSA to institute a competitive contracting process to find the best contractors for various OPTN functions. This legislation was signed into law on September 22, 2023.  On March 20, 2024, the Committee launched an investigation into the organ procurement and transplantation system by sending a letter to United Network for Organ Sharing (UNOS) requesting information related to concerns surrounding data security and operability, patient safety and equity, and conflicts of interest.   On March 20, 2024, the Committee also sent a letter to HRSA requesting information related to implementation of the Securing the U.S. Organ Procurement and Transplantation Network Act as well as other concerns related to effective oversight and management.  On September 11, 2024, the Subcommittee on Oversight and Investigations held a hearing that focused on the implementation of reforms at the OPTN, including the need for stronger oversight and accountability as well as ongoing patient safety concerns.  During the hearing, questions were raised related to allegations of mismanagement and patient safety concerns after patients began exhibiting signs of increased neurologic function after being previously deemed suitable as an organ donation candidate. Several of these allegations, particularly those related to patient safety, were later substantiated through the findings contained in HRSA’s March 2025 report.  On March 24, 2025, HRSA’s Division of Transplantation issued a report that summarized the findings of its investigation into KYDA, the OPO now known as Network for Hope, which serves Kentucky and parts of Ohio, West Virginia, and Indiana.   HRSA’s investigation examined an “index case” and an additional 351 unique cases of authorized, not recovered (ANR) patients. This means that the patients were considered for donation after circulatory death recovery, but no organs were transplanted. The report showed that nearly 30 percent of the cases “had concerning features.” The concerning features included problems with patient-family interactions, medical assessments and team interactions, recognition of high neurologic function, and recognition and documentation of drugs in records.  On May 28, 2025, HRSA issued a corrective action plan to the OPTN, which directed the OTPN to take specific actions within a specified period of time, including developing a 12-month OPTN monitoring plan for KYDA to address concerns identified. The corrective action plan also requires the OPTN to propose policies for public comment to improve safeguards for potential donation after circulatory death (DCD) patients in the organ procurement process and increase information shared with patient families regarding DCD organ procurement.  On July 22, 2025, the House Committee on Energy and Commerce’s Subcommittee on Oversight and Investigations held a hearing examining concerning practices within our nation’s organ procurement and transplant system that were identified by HRSA’s investigation.  On September 12, 2025, the Committee sent a bipartisan letter to HRSA requesting a briefing on its ongoing oversight of patient safety in our nation’s organ procurement and transplant system. ###



Nov 14, 2025
Environment

Chairmen Joyce and Palmer Send Letter to GAO Requesting Information on Alternatives to Critical Minerals Supply Chain

WASHINGTON, D.C. – Yesterday, Congressman John Joyce, M.D. (PA-13), Chairman of the Subcommittee on Oversight and Investigations, and Congressman Gary Palmer (AL-06), Chairman of the Subcommittee on Environment, sent a letter to Gene Dodaro, the Comptroller General of the Government Accountability Office (GAO), requesting an assessment of available or emerging technologies and materials that could be used to supplement critical minerals in semiconductors. “Critical minerals such as lithium, cobalt, and rare earth elements are essential for technologies used in many sectors of the economy, including energy, transportation, national defense, health care, and consumer electronics,” said Chairmen Joyce and Palmer . “These minerals are vulnerable to supply-chain disruptions for several reasons, including U.S. reliance on foreign sources, as well as the rapid growth in demand for critical minerals in the U.S. and abroad.” CLICK HERE to read the full letter. The letter asks the GAO to examine: The status of domestic technologies and supplemental materials, such as critical minerals found in mine waste, tailings, or reclaimed from end-of-life batteries and electronic waste, that can serve as substitutes for foreign-sourced critical minerals from non-allied nations needed for semiconductors and energy grid or power electronics, including impacts on material and product performance. Key technological challenges to the development or adoption of these domestic supplemental and materials to advance the diversification of U.S. critical mineral sources. BACKGROUND: In May, the Subcommittee on Oversight and Investigations held a hearing on ways to enhance our critical mineral supply chains. Energy and Commerce Committee Republicans are committed to strengthening our critical mineral supply chains and finding solutions to reduce our reliance on foreign sources, particularly when it comes to foreign adversaries like China. The Trump Administration has also worked hard to bolster these supply chains. Critical minerals are essential to American technologies and industries, and finding innovative domestic solutions that can contribute to our independence from non-allied nations is essential as we work to onshore American innovation and strengthen our national security. ###



Chairmen Guthrie, Joyce, and Bilirakis Send Letter to NCAA Over Decision to Let Student Athletes Gamble on Professional Sports

WASHINGTON, D.C. – Congressman Brett Guthrie (KY-02), Chairman of the House Committee on Energy and Commerce, Congressman John Joyce, M.D. (PA-13), Chairman of the Subcommittee on Oversight and Investigations, and Congressman Gus Bilirakis (FL-12), Chairman of the Subcommittee on Commerce, Manufacturing, and Trade, sent a letter to National Collegiate Athletic Association (NCAA) President Charlie Baker following the recent announcement that student athletes and athletic department staff will be allowed to bet on professional sports. KEY EXCERPTS: “The Committee on Energy and Commerce is examining the NCAA’s recent policy change permitting student athletes and athletic department staff to bet on professional sports.” [...] To assist the Committee in its oversight, we request a briefing by no later than November 13, 2025, that addresses the following: Why is the NCAA changing its policy allowing student athletes to bet on professional sports? Has the NCAA conducted any studies, analyses, or reviews of the impact of gambling on student athletes? If so, what are the results? What role did they play in the NCAA’s decision to allow student athletes to bet on professional sports? How does this change allow the NCAA, the conferences, and the member schools to better protect the integrity of college games and encourage healthy habits for student-athletes who choose to engage in betting activities on professional sports? How is the NCAA engaging with athletic conferences, member institutions, and teams to address questions and concerns about this rule change? Amid recent allegations of illegal sports betting among student athletes and concerns expressed by member institutions, is NCAA reconsidering implementation of the policy? What guardrails are in place to prevent the type of illegal sports betting activity that is allegedly occurring in the NCAA and NBA, considering that some student athletes will go on to become professional athletes? Please provide details about any fraudulent, illegal, and alleged betting practices in connection with NCAA players, coaches, and officials, including the actions of NCAA players identified in recent infraction decisions; as well as prior instances, some of which are identified above. Please describe the NCAA’s “layered integrity monitoring program,” for maintaining competition integrity and pursuing sports betting violations. What gaps, if any, are in existing regulations that allow illegal betting schemes to occur in college sports? BACKGROUND: On October 24, 2025, the Committee on Energy and Commerce launched its investigation into sports fixing and illegal gambling after the Federal Bureau of Investigation (FBI) unsealed indictments of current and former NBA players and coaches. An initial announcement stated that, effective November 1, 2025, student athletes and athletic department staff in all three NCAA divisions would be permitted to bet on professional sports. A few days before the policy change was supposed to take effect, the Division I Board of Directors voted to delay implementation of the rule change across all three divisions to November 22, 2025. A recent NCAA press release stated that “enforcement staff has opened investigations into potential sports betting violations by approximately 30 current or former men's basketball student-athletes.” CLICK HERE to read the full letter.