Federal Government Reopens After Longest Shutdown in History

November 13, 2025

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On Nov. 12, the House passed, and the President signed into law, legislation to reopen the federal government and end the longest U.S. government shutdown in history. The agreement funds most agencies through Jan. 30, 2026, with some full-year appropriations included. Immediate impacts include federal employees returning to work and receiving back pay, resumption of SNAP benefits and other critical programs though operational lags may persist for weeks.

The bill also extends Medicare telehealth coverage – which expired when the shutdown began – through Jan. 30 and retroactively pays for virtual care services delivered to beneficiaries during the shutdown. The deal struck in the Senate includes a stand-alone Senate vote in December on extension of enhanced ACA tax subsidies that will expire at year-end without congressional action. Passage is far from guaranteed and House Speaker Johnson (R-LA) has not committed to a vote.

The White House and key Republicans in Congress have made clear that reforms of the enhanced ACA tax subsidies are necessary for any potential bipartisan agreement. In addition to longstanding interest in addressing program integrity and limiting tax credits for higher-income consumers, the President and key Republicans are calling for reforms that would enable federal health care funding to flow directly to consumers.

Initiatives

Calls grow for Drug Patent reform

In a recent blog post, the Pharmaceutical Care Management Association (PCMA) highlighted increased attention to pharmaceutical companies’ abuse of drug patents. Last month, the Supreme Court unanimously ruled in favor of a generic drugmaker in a “skinny labeling” case, a victory for patients. Skinny labels allow generic and biosimilar competitors to launch products for non-patented indications, helping accelerate […]
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August 11, 2026

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perspectives

AHIP calls for Bipartisan reform to address health care cost drivers

On July 23, AHIP President and CEO Mike Tuffin wrote an opinion piece in The New York Times saying, “common-sense bipartisan reforms are needed to promote competition in care delivery and prescription drugs, protect consumers from providers and drugmakers’ anticompetitive practices and transition away from the perverse incentives of fee-for-service medicine.” Tuffin notes that health […]
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August 11, 2026

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Solutions

PCMA urges preserving patient access and flexibility in new fertility benefits rule

PCMA recently submitted comments to HHS, DOL, and the Treasury (the Departments) in response to the proposed rule establishing a new category of limited excepted benefits for fertility services. PCMA supports the Departments’ goal of expanding access to fertility care while encouraging employer innovation but urged several targeted refinements to ensure the framework is operationally […]
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August 11, 2026

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