News & Info for NYS Council members, 9/17/25

September 17, 2025

Governor Kathy Hochul today called on Congressional leadership to pass an extension of the Affordable Care Act’s enhanced premium tax credits, which are set to expire at the end of 2025. New York is one of 18 states to sign a joint letter stating that without these subsidies, millions of Americans will see their healthcare premiums rise by thousands of dollars. More than 140,000 New Yorkers rely on these enhanced credits to access quality, affordable health coverage. In addition, these credits support a further 1.7 million New Yorkers on the Essential Plan, which provides low or no-cost coverage for working families statewide.

Extension of these tax credits is critical, as New York State grapples with the devastating impacts of the GOP reconciliation law, which guts federal funding for the Essential Plan by $7.5 billion annually, more than half of the program’s total funding, beginning in 2026. New York State is being forced to revert the Essential Plan back to a Basic Health Program as a result of the Republican budget bill, which was supported by all seven New York Congressional Republicans who knowingly voted to slash funding for the critical program. 

Read the full letter here.

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Update on short-term budget wrangling on the Hill from Politico (9/17):

Republican leaders vowed Wednesday to barrel forward with a stopgap funding bill in the coming days as Democrats threatened to oppose it in favor of their own alternative — raising the chances for an Oct. 1 government shutdown.

House Majority Leader Steve Scalise told reporters Wednesday morning that a vote on the GOP-written bill unveiled Tuesday is expected “likely Friday” amid Democratic objections about a lack of bipartisan negotiations.

“We’re going to do our job, and that’s all we can do, is do our job,” he said. “If Democrats want to shut the government down and continue to hold America hostage because they don’t like the results of the election, the American people are fed up with that kind of childish politics.”

While House GOP leaders have pushed their members for earlier action, they believe Friday morning is the likeliest option for the vote. Hard-liners and others are pushing leaders to stick to the chamber’s 72-hour-review rule.

GOP leaders are also still working to win the votes of several undecided Republicans, including Rep. Warren Davidson (R-Ohio), but are confident they are on track to pass the measure by the end of the week. “Like any big vote, they’re always tight,” Scalise said Wednesday.

Rep. Andy Harris (R-Md.), chair of the hard-right House Freedom Caucus, said in a brief interview he was expecting a “Friday morning” vote, saying that was “close enough” to fulfilling the 72-hour rule. GOP leaders have privately acknowledged a Thursday vote could cost them votes among hard-liners, and they can’t afford to lose many Republicans with Rep. Thomas Massie (R-Ky.) already a hard “no.”

“I suspect leadership knows it’s easier to get guys to a yes when we’re following the rules than not,” said another Republican involved in the conversations granted anonymity to speak candidly.

Senate Republicans, who want to act quickly on the House bill, are closely watching the House action as they plan their own schedule.

If the House votes Friday, the earliest the Senate would be able to vote is Monday. While voting on Thursday could theoretically move up that schedule a day, a number of Republican senators want to attend activist Charlie Kirk’s funeral Sunday, making a vote that day unlikely.

Furthermore, according to two people granted anonymity to discuss chamber scheduling, senators are not eager to return Monday only to leave again for an already scheduled recess for Rosh Hashanah. Instead, senators would likely return next Thursday, after the Jewish holiday, the people said.

The scheduling conflicts come as the Sept. 30 funding expiration looms and as Senate Democrats threaten to use the chamber’s filibuster rule to block the GOP stopgap.

“In the Senate, it takes 60 votes,” Minority Leader Chuck Schumer said Wednesday. “So that means Republicans will need to work with us. If they can’t even bother to have a conversation with Democrats, then it’s Republicans who the American people will know are causing a shutdown in two weeks.”

Senate Majority Leader John Thune reiterated Wednesday that Republicans see nothing to negotiate on the “clean” stopgap, which would extend current funding through Nov. 21. “These guys are trying to take a hostage here,” he said.

Speaker Mike Johnson, asked about the prospect of Senate Democrats blocking the House stopgap, said in a brief interview Tuesday that he hoped that wouldn’t happen.

“There would be no reason to, because it’s clean and short term.” Asked if he would work on a backup plan in that case, he replied, “We’re going to see what happens.”

But House Appropriations Chair Tom Cole signaled some support Wednesday for Republicans working on a Plan B if Senate Democrats do block the GOP-led stopgap as they’re threatening.

“I certainly would,” Cole said in a brief interview, but he acknowledged it was “a leadership decision.”

Cole, asked if the talks could be salvaged at that point to stave off a shutdown, replied, “I don’t know.”

The comments came as tensions between normally cordial appropriators appear to be reaching a breaking point. Senate Appropriations Vice Chair Patty Murray (D-Wash.) on Tuesday accused Cole of having “pulled out” of bipartisan talks and “produced a one-sided CR.”

“Where are the Republican leaders?” Murray said. “If Republicans can’t even sit down with [Democratic leaders] to simply have a conversation, then they cannot govern.”

Cole retorted Wednesday that Democrats were threatening to oppose a stopgap funding bill “they asked for” and are now planning to unveil their own alternative that adds on health care provisions and other measures GOP leaders are opposing.

“We gave them the time frame and a clean bill, now they’re wanting to put other things in,” he said, adding that health care and other issues Democrats want to tackle “ought to be dealt with in separate discussions.”

 
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For Political Types and Budget Watchers:

Congress is in the midst of another shutdown showdown. To fully grasp the stakes of this moment, it’s helpful to rehash what the government funding process usually looks like, how this year was different, and what that all means for what might happen next. 

That’s what I’ll walk through below—organized as best I can to make it easy for folks who don’t want to recap this year to skip ahead! 

As always, I welcome your feedback. Thanks for reading.

How does appropriations usually work?

The main thing you need to know about appropriations—that is, the process by which the federal government goes about spending money—is that, usually, the House and the Senate write their own versions of 12 appropriations bills that fund different parts of the federal government. The House and Senate must come up with a compromise version of those 12 bills and approve that compromise in both chambers, after which their agreement can go to the President and be signed into law. All of that must happen before the government runs out of money on September 30, the end of the fiscal year. 

Once the appropriations bills become law, they dictate how much funding particular federal agencies and programs can spend over the next year, what they can spend that funding on, and any restrictions agencies must abide by. 

Those appropriations laws are always bipartisan compromises, because before they become law, they have to pass both the House and the Senate. Almost every bill that goes through the Senate must get 60 votes to pass, and for the last decade-plus, no party has held a Senate majority that big—meaning, to hit that 60-vote threshold, at least a handful of minority party senators have to be onboard. 

Why is this appropriations cycle different? 

Impoundment

That’s how things usually work. Here’s why this year is different. 

Folks might remember that back in January, a White House memo froze federal funding, blocking the flow of resources to families and communities without warning and causing immense confusion before a court blocked the freeze and the White House withdrew its memo.

The White House claimed to be targeting programs that “advance Marxist equity, transgenderism, and green new deal social engineering policies.” The White House also insisted that “Social Security benefits, Medicare benefits, food stamps, welfare benefits, assistance that is going directly to individuals will not be impacted by this pause.”

Despite those claims, disruptions were reported to Medicaid, which provides health care to 72 million Americans; Head Start, where hundreds of thousands of kids go to preschool; veterans’ housing; and numerous other services individuals depend on.

There have been many, many events over the last nine months that have captured the country’s and the media’s attention—so, you’d be forgiven for assuming that this issue of the White House preventing federal funds from reaching communities had resolved itself. 

But that’s not the case.

The White House has continued to block or delay funding that Congress, by law, has directed the President to spend. This is known as “impoundment,” and it is illegal. Yet earlier this month, the House and Senate Appropriations Committee’s Democratic leaders released a report tracking more than $410 billion in funding that the White House continues to owe communities nationwide.

Rescissions 

But this massive impoundment scheme is not the only way the White House is straying from the normal appropriations process. It’s also using a special process called “rescissions.” When the President asks Congress to “rescind” federal funding, he’s asking them to claw back money that’s already been signed into law on a bipartisan basis. 

Earlier this year, the President asked Congress to rescind funding for foreign assistance and the Corporation for Public Broadcasting, which funds PBS and NPR. 

Remember how earlier I said most bills need 60 votes to pass in the Senate? Well, rescissions bills are among those special exceptions that just need a simple majority vote for Senate approval. As a result, Republicans in Congress were able to approve a rescissions package in July, taking back $9 billion Congress itself had already allocated for specific programs. 

Notably, Republicans clawed back that public broadcasting money knowing it could mean shutting down public radio and TV stations, threatening life-saving emergency broadcasts that rural communities in particular depend on during disasters, like the July 4 weekend flash floods in Texas that killed at least 135 people

In fact, despite some Republicans’ reported concerns that these cuts could endanger their constituents during emergencies, GOP senators voted down an amendment to block the cut to public broadcasting if it threatened emergency services—less than two weeks after those deadly floods took place. 

Pocket rescissions

There’s another way that this year’s appropriations process is quite different from those in the past, and that’s because of yet another maneuver the White House is using to withhold funding Congress previously approved. This tactic is called “pocket rescissions.”

A moment ago, I talked about “rescissions,” the special process in which the President asks Congress to take back federal funding. Once the President makes that request, he can hold onto that funding for 45 days while Congress decides whether they’re going to rescind the money. 

But if the President sends his rescission request to Congress less than 45 days before the end of the fiscal year, when the money expires anyway, it’s a moot point. The fiscal year during which that money had to be spent is over, and the money never got spent. In short: it’s an end-run around Congress that lets the President decide on his own what spending laws he does or doesn’t follow, and it’s illegal

Nonetheless, the administration announced a pocket rescission last month, cancelling $4.9 billion in foreign assistance. While a lower court ordered the White House to spend the money in accordance with the law, the Supreme Court put a hold on that order. The hold remains in place—and, therefore, the funding remains in limbo—as the Supreme Court decides next steps.

The upshot 

This administration has repeatedly ignored appropriations laws, acting as judge and jury in deciding which legally-owed funds to withhold from communities. Republicans in Congress have, with few exceptions, yielded to the President rather than defend the laws they passed.  

This begs the question: how do Democrats enter into a government funding agreement with Republicans—an agreement that must be bipartisan under the Senate’s rules—knowing the President could ignore it and face virtually no GOP pushback? 

This is precisely the question Congress is reckoning with now.

Where are we now? 

On September 16, Republicans introduced a stopgap appropriations bill (also called a continuing resolution, or CR) to fund the government through November 21, the Friday before Thanksgiving, and to extend some government programs set to expire on September 30, like the Temporary Assistance for Needy Families program and National Flood Insurance Program. It also provides extra money for federal officials’ personal security. 

Democratic leaders in Congress have condemned the CR for its failure to combat the President’s repeated disregard for spending laws. They’ve also criticized the CR on the grounds that it does not protect Americans’ health care. This is a reference to the massive Medicaid cuts Republicans made as part of their budget bill this summer, and the looming expiration of tax credits that help Americans afford health insurance. 

If Congress fails to renew those tax credits, 22 million Americans could see a massive spike in their insurance premiums: on average, premiums are expected to go up more than 75 percent. Americans living in rural areas will see an even bigger increase of 90 percent. An estimated 4 million Americans will become uninsured altogether.

As a result, Democrats in Congress are asking for a government funding bill that tackles these problems. Senator Chris Murphy (D-CT) phrased it as follows: 

“We need to start drawing lines in the sand about what kind of government we’re willing to fund and what kind of government we’re not willing to fund. To me, that means trying to stop the health care disaster that’s about to be visited on our communities, and building some protections into this budget that make it harder for Trump to get away with his lawlessness.”

What’s next? 

The House will vote on the GOP-proposed CR in the next couple days. Republicans can pass it with just Republican votes—whether they will pass it with just Republican votes remains to be seen. 

If the House vote fails, it may force GOP leaders to negotiate with Democrats in order to get the CR over the finish line before September 30. If it passes, it will go to the Senate where, again, a handful of Democratic votes are necessary to hit the 60-vote threshold even if all 53 Senate Republicans support the CR. If the CR can’t get 60 votes in the Senate before September 30, the government will shut down. 

What happens if the government shuts down? 

For a broad overview of what a government shutdown looks like, check out our explainer, FAQs about Government Shutdowns.

For now, I’ll share a few examples from the shutdown between December 22, 2018 and January 25, 2019 that illustrate how a government shutdown impacts Americans’ health and safety: 

  • The Food and Drug Administration paused routine inspections, which endangered the public by allowing unsafe food or medical facilities to operate undetected. In the shutdown’s first weeks alone, the agency canceled more than 50 “high-risk” inspections, which typically involve food considered vulnerable to contamination like seafood, cheese, and vegetables. 
  • More than 86,000 immigration court hearings were canceled, delaying immigration proceedings for people who may have been waiting for their day in court for years and worsening an already substantial case backlog. 
  • The National Park Service stopped trash collection and road repairs, which allowed unsanitary conditions to fester and dangerous roads to remain in use. Some parks closed entirely, as did the Smithsonian museums, the National Zoo, and the National Gallery of Art, disrupting families’ travel plans and costing the government revenue it would otherwise collect from fees and souvenir and concession sales. 

What happens if the CR passes? 

If the proposed CR passes, the government will remain open through November 21, at which point this debate will likely play out again—but with lawmakers eager to head home for Thanksgiving. 

This CR’s passage also means that Americans will likely start getting notices to renew their health insurance for 2026 and—in the absence of congressional action on premium tax credits—seeing much higher premiums.

On top of that, the risk remains that the White House will continue to flout the law and withhold  resources it is legally obligated to send to communities. Again, the administration continues to owe communities more than $410 billion for VA hospitals, natural disaster relief, cancer screenings, road and bridge repairs, and much more. If Congress fails to act and get this funding to the public, there’s no indication that the White House won’t at least continue to block resources communities need—if not target more. (Source:  CPCC, 9/17)

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(Becker’s Hospital News, 9/17)

Two top federal officials are arguing schools should eliminate mental health screenings and therapy — a stance that has drawn pushback from behavioral health leaders according to a Sept. 16 NPR report. 

Here are five things to know:

  1. In an opinion column published in The Washington Post, Robert F. Kennedy Jr., HSS secretary and Linda McMahon, education secretary, said schools should eliminate mental health screenings and therapy. They advocated for a return to “natural sources of mental well-being: strong families, nutrition and fitness, and hope for the future.” The secretaries argued that school-based mental health questionnaires “medicalize the unique and sometimes unpredictable behavior of young children,” and create “new stigmas that students might carry with them for life.”
  1. The officials cited an Illinois law signed by Gov. J.B. Pritzker that requires all public schools to administer annual mental health screenings starting in third grade. The screenings are standardized tools that ask children to self-report on emotions, well-being and stressors. This represents one of the most expansive mental health mandates in K-12 public education and could influence similar legislation in other states, according to the report. 
  1. Psychologists and child psychiatrists interviewed by NPR said screening tools do not diagnose conditions but instead identify children who may need a follow-up. “Screeners are brief assessments that identify this population at risk,” Benjamin Miller, PsyD, a psychologist, said. “They’re not diagnostic, and they require us to take an additional step.” Experts emphasized that most students who screen positive are referred to school counselors or nurses for further evaluation — not therapy or medication, according to the report.
  1. Leaders said universal screening helps reduce stigma by opening conversations around mental well-being. “Stigma is when you don’t talk about it and you hide it,” Mary Alvord, PhD, a psychologist, said. Vera Feuer, MD, director of child psychiatry at New Hyde Park, N.Y.-based Northwell Health, said that screenings help schools identify systemic issues and deploy appropriate wellness or resilience programs. Many districts use broader “school climate” or “wellness” surveys to understand trends, not diagnose individuals, she said.
  1. Dr. Feuer said symptoms flagged by a screener often turn out to be tied to physical health conditions, not always a mental health disorder. Still, she said screenings remain essential for catching red flags early: “A lot of the disorders do start before age 15. We know that the rates have increased,” she said. 

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Harm reduction centers get $118M in opioid settlement funds 
By Daniel Han | 09/17/2025 03:29 PM EDT
 

New Jersey’s harm reduction centers will receive $118 million stemming from opioid settlement funds received by the state, the Murphy administration announced on Wednesday.

Harm reduction centers provide clean needles, naloxone and referrals to treatment for drug users across the state. They have proliferated under the Gov. Phil Murphy, going from seven such centers in mid 2023 to 45 active centers today (another 10 are also being set up).

The tranche of funds announced Wednesday for harm reduction centers will be spread out over five years and will assist existing and new centers, Murphy’s office said. Using the funds for harm reduction is in line with recommendations from the state’s advisory council on opioid settlement funds.

Murphy and legislative leaders faced criticism over the current state budget for allocating $45 million in opioid settlement funds to four health systems in the state. Attorney General Matt Platkin took the rare step of criticizing that part of the spending plan, and members of the advisory council overseeing opioid settlement funds also demanded that spending be reversed.

The state and its local governments will receive over $1 billion over the next two decades in settlement funds from pharmaceutical companies for their role in the opioid crisis. The funds are meant to address and mitigate drug addiction in the state.

Harm reduction centers in New Jersey have increased in large part because of a law that Murphy signed in 2022 that eliminated a requirement that a local ordinance pass a town council for a harm reduction center to operate.

The state is also setting aside $12 million in opioid settlement funds for non-profits and businesses that help families who have a loved one impacted by drug use.