The Lower Health Care Premiums for All Americans Act: Real Solutions to Lower Costs and Fix the Democrats’ Broken System

Source: United States House of Representatives – Representative Mike Johnson (LA-04)

WASHINGTON — This week, House Republicans are advancing the Lower Health Care Premiums for All Americans Act — a targeted package of reforms designed to lower premium costs for all Americans, expand access to affordable coverage, and increase transparency to drive down prices across the health care system.

While Democrats continue to push for additional COVID-era subsidies that funnel taxpayer dollars to large health insurance companies to hide the cost of Obamacare, this legislation delivers proven, measurable solutions for all Americans – not just some.

KEY REFORMS THAT LOWER COSTS AND EXPAND ACCESS

Lowers Premium Costs Through Cost-Sharing Reduction Payments

  • Lowers premiums by at least 11%
  • Stabilizes the individual market by appropriating CSR payments.
  • Reduces out-of-pocket costs such as deductibles and copays.
  • Reflects a policy previously supported by 196 House Democrats in 2017.

Brings Transparency and Reduces Hidden Drug Costs

  • Requires pharmacy benefit managers to report:
  • Drug spending
  • Rebates
  • Pricing
  • Gives employers and employees visibility into cost drivers that raise premiums.

Expands Association Health Plans for Small Businesses and Independent Workers

  • Restores the executive order by President Trump, which would: 
    • Enroll 3.7 million Americans.
    • Cover 400,000 previously uninsured individuals.

Expands Coverage Choices and Strengthens Employer Flexibility

  • Allows employees to use tax-free employer contributions to purchase the health plan that works best for them.
  • Provides workers with flexible, portable coverage options.
  • Protects small employers’ ability to offer affordable, customizable benefit plans.

THE UNAFFORDABLE CARE ACT MARKETPLACE: RISING COSTS AND STRUCTURAL FAILURES

Premiums Have Risen Nearly Twice as Fast as Employer Coverage

Surging Premiums Are Driving Higher Federal Subsidy Costs

The Cost of Extending the COVID-Biden-Era Subsidy Boost is Substantial

Zero-Claim Enrollment Has Surged — While Insurers Collect Billions

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Rep. Weber Introduces Legislation to Establish Voluntary Standards for Environmental Packaging Claims

Source: United States House of Representatives – Congressman Randy Weber (14th District of Texas)

WASHINGTON, D.C. – Today, Congressman Randy Weber (TX-14) introduced the Packaging and Claims Knowledge (PACK) Act of 2025, commonsense legislation to establish the first voluntary federal standard for environmental claims on packaging and put an end to misleading “green” labels that confuse consumers and undermine real recycling efforts.

Across the country, a patchwork of state regulations has resulted in unverified claims like “recyclable,” “compostable,” and “reusable” to appear on packaging, often without any connection to real-world recycling or composting systems. This confusion has made it harder for consumers to know what can actually be recycled and has weakened legitimate environmental initiatives.

The PACK Act addresses this problem by promoting science-backed, industry-driven standards for environmental labeling. Under the legislation, companies may only make environmental claims if those claims are scientifically verified and recognized by existing recycling or composting programs, ensuring honesty and transparency without imposing new mandates.

“Americans want to do the right thing, but misleading labels make that harder,” said Rep. Weber. “The PACK Act cuts through that confusion. It’s pro-environment, pro-business, and rooted in common sense, all while holding companies accountable and giving consumers clear, honest information they can trust.”

Industry leaders praised the legislation’s approach.

“AMERIPEN applauds Rep. Randy Weber for introducing the Packaging and Claims Knowledge (PACK) Act and supports the PACK Act’s creation of a federal framework for recyclable, compostable, and reusable claims for consumer packaging under the Federal Trade Commission (FTC),” said Lynn Dyer, President of AMERIPEN. “This new framework will address concerns with the patchwork of state regulations and its negative effect on interstate commerce and consumer awareness regarding management of consumer packaging. AMERIPEN will continue to support Congressman Weber as he moves this critical legislation through the House of Representatives.”

“The Plastics Industry Association thanks Congressman Weber for introducing the PACK Act,” said Matt Seaholm, PLASTICS President and CEO. “Plastic packaging is essential to modern life—protecting products, keeping food fresh, and ensuring medical supplies arrive safely—yet companies and consumers are currently navigating a complex landscape of rules around recyclable, compostable, and reusable packaging claims. This growing patchwork not only creates regulatory uncertainty but also has the potential to increase costs and contribute to broader affordability concerns.”

“The PACK Act would establish a clear national framework under the FTC, reducing uncertainty and supporting businesses operating across state lines. As an industry that employs more than one million Americans, we appreciate Congressman Weber’s leadership on this important issue that strengthens U.S. manufacturing and consumer confidence.”

“We welcome the introduction of the PACK Act for creating a single, national framework for packaging claims,” said Peter DePasquale, Vice President, Government Affairs, Keurig Dr Pepper. “By setting clear, national standards and certifications through credible third parties, this legislation helps ensure consumers receive accurate information while giving companies the consistency they need to innovate and accelerate investment in sustainable packaging solutions nationwide.”

Background:

Packaging and labeling standards in the United States are increasingly influenced by state-level regulations, particularly those adopted in California. Because of the size of California’s market, standards set by the state can have national implications for manufacturers, supply chains, and consumers, even when companies operate primarily outside of California.

This dynamic has raised concerns about regulatory consistency and the impact of state-specific requirements on interstate commerce.

Read the full bill text here.

ICYMI: Stevens Stands With Jewish Community in Michigan and Around the World in Remarks on House Floor

Source: United States House of Representatives – Congresswoman Haley Stevens (MI-11)

WASHINGTON, D.C. – ICYMI: Congresswoman Haley Stevens delivered passionate remarks on the House floor in the wake of the deadly terrorist attack against Jewish people in Sydney, Australia, on December 14. 

A full transcript of Rep. Stevens’ remarks is below:

Thank you, Mdm. Speaker.

Over the weekend, the world watched in horror as Jews celebrating the start of Hanukkah were murdered on the shores of Sydney, Australia.

It’s dizzying, it’s unfathomable, and devastatingly, it’s become more common in our world today. It doesn’t matter whether it’s in Australia, the United States, or Israel: the killing of Jewish people for practicing their faith is unconscionable, and it must stop.

Today, we mourn the 15 lives lost at Bondi Beach. We grieve with their families and their loved ones, and we share the pain felt by the entire Jewish community around the world. Hanukkah is a celebration of light—a proof point that even in dark times, Jewish communities can find the joy.

However, these are not easy days.

With freedom and lives on the line, we need change. We need the violence to stop.

As Co-Chair of the Anti-Semitism Task Force, I will always speak out and use my voice to uproot antisemitism wherever it festers.

To the Jewish community in Michigan and beyond: I see you, I hear you, and I will do everything in my power to ensure that you get to live, worship, and celebrate safely and freely.

Thank you, and I yield back.

 

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Jayapal Statement on Newhouse Retirement

Source: United States House of Representatives – Congresswoman Pramila Jayapal (7th District of Washington)

WASHINGTON, D.C. — U.S. Representative Pramila Jayapal (WA-07) released the following statement on the retirement of Dan Newhouse (WA-04):

“It has been an honor to serve in the Washington State Delegation with Representative Newhouse, and I have greatly appreciated his leadership to provide a roadmap to citizenship for farmworkers and partnership on local issues, including designating MoPOP as the National Museum of Pop Culture. 

“I also thank him for the courage he exhibited as one of only ten House Republicans who stood up for our democracy and the rule of law in this country by voting to impeach Donald Trump after the January 6th attack. 

“He will be missed in Congress, and I wish him and his family the best in retirement.”

LEADER JEFFRIES AHEAD OF VOTE ON GOP HEALTHCARE BILL: “REPUBLICANS NEED TO BRING THE AFFORDABLE CARE ACT TAX CREDIT EXTENSION BILL TO THE FLOOR TODAY”

Source: United States House of Representatives – Congressman Hakeem Jeffries (8th District of New York)

Today, House Democratic Leader Hakeem Jeffries spoke on the House Floor, emphasizing that House Republicans have a responsibility to join House Democrats in protecting Americans’ healthcare after he received 218 signatures on his discharge petition to extend the ACA tax credits for three years.

LEADER JEFFRIES: For months now, Democrats have made clear that we have a broken healthcare system that Republicans continue to destroy.They’ve exacerbated our healthcare crisis month after month after month, including with the One Big Ugly Bill, largest cut to Medicaid in American history, ripping healthcare away from 14 million Americans. Hospitals, nursing homes and community-based health centers are closing all across the country, including in rural America, because of the Republican healthcare crisis. Republicans, Mr. Speaker, continue to attack the National Institute of Health, the Centers for Disease Control, the FDA and vaccine availability. Republicans have launched an all-out assault on the healthcare of the American people, and it continues today with this toxic piece of legislation that will rip healthcare away from an additional four million people and jam junk health insurance plans down the throats of the American people.

Democrats are strongly opposed to this legislation, and the American people know Republicans have zero credibility on fighting to protect their healthcare. In this great country of ours, the wealthiest country in the history of the world, it should be the case, we believe, that access to high-quality healthcare should not simply be a privilege, available only to the wealthy, the well-off and the well-connected. Access to high-quality healthcare should be a right available to every single American, and that’s what House Democrats are continuing to fight hard to achieve.And one of the ways we can make sure that we strive to achieve that principle is to extend the Affordable Care Act tax credits, which are scheduled to expire in 15 days. And that means that tens of millions of Americans, working class Americans, middle class Americans, people in urban America, rural America, small town America, suburban America, the heartland of America, Black and brown communities all throughout America, tens of millions of people, Americans of every stripe, in every region, are about to experience their health insurance premiums increase, in some instances by a thousand or two thousand dollars per month. That is unacceptable. And now we have a bipartisan coalition here in the House of Representatives, at least 218 votes, to extend the Affordable Care Act tax credits for three years to provide everyday Americans with the certainty that they deserve in terms of being able to afford to go see a doctor when they need one.

Mr. Speaker, Republicans need to bring the Affordable Care Act tax credit extension bill to the Floor today. Under no circumstances should we leave this Capitol this week before voting on an extension of the Affordable Care Act tax credit bill that we know will pass, that the votes exist in a bipartisan way to protect the healthcare of everyday Americans. House Democrats have made clear we are in this fight until we win this fight to cancel the cuts, lower the cost, save healthcare and extend the Affordable Care Act tax credits.

Full Floor remarks can be watched here.

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Speaker Johnson Delivers Remarks on “Extraordinarily Transformational” Trump Accounts at Treasury Department Event

Source: United States House of Representatives – Representative Mike Johnson (LA-04)

WASHINGTON — This morning, Speaker Johnson joined Secretary Scott Bessent for a press conference at the Treasury Department to deliver remarks about Trump Accounts – tax free savings accounts for every child born in America. House Republicans passed this transformational provision into law through the Working Families Tax Cuts. Every Democrat in Congress voted against it.

Thanks to Republicans’ landmark legislation, this new, historic savings tool will be available to every American child born over the next three years with a one-time $1,000 seed contribution that grows with the stock market.

“But among all those features, one that I think will have truly lasting effect on the economy and the financial stability of individuals in our country at large is the Trump Account,” Speaker Johnson said. “It is truly going to change the lives of every American.”

Watch Speaker Johnson’s full remarks here

Below are Speaker Johnson’s remarks as delivered:

What an exciting day this is. It’s so great to see you all here at Treasury with our extraordinary Secretary. Scott Bessent is a godsend to America. Can I get a round of applause for our Treasury Secretary?

President Trump will have a lot of extraordinary legacy items that history will record. But one of the best choices early on was selecting this gentleman to serve in this position. And he’s put together an extraordinary team.

And the truth be told, we would not have gotten the big beautiful bill, the Working Families Tax Cuts, done as we did without his steady hand of leadership. Anyone who had a question, I drug them over here to Treasury and made him sit through a little class with the Treasury Secretary and he helped get them to yes. So that’s something history will record as well.

We are so excited about this because America needs this. It’s an idea that is long overdue. People have been struggling. You know, when President Trump came in and this Republican Congress took over in January, with the new administration, we inherited a real mess.

We had four years of Bidenomics, and we all know what that did to people’s pocketbooks, to their outlook on the economy, and to their real experience and having to suffer through record high levels of inflation, lower wages, and less opportunity.

So, when we took the reins of power, we were determined to fix all of that. We had to fix virtually every area of public policy, and we got to work on it. And the result was that big beautiful bill, aptly named by the President, also known as the Working Families Tax Cuts, because that’s what we achieved.

We got real economic relief on the way for the American people. Largest tax cut in US history, largest savings of taxpayers’ dollars at the same time, by the way, no tax on tips, no tax on overtime, real relief for seniors on social security, all the other big benefits in the bill.

But among all those features, one that I think will have a truly lasting effect on the economy and the financial stability of individuals in our country at large, is the Trump Account. And what we’re here to explain and what the Secretary just, laid out is an extraordinary transformational policy. It is truly going to change the lives of every American.

And when we wrote the big beautiful bill, it was geared for lower- and middle-class earners to give relief to hardworking families. And this is one of the primary drivers of that. Now, I’m not going to give you a long speech. I could, because I’m really excited about this and what it’s going to do for our families, for the economy.

But one thing I really like, I think it’s almost poetic, is that the implementation date happens to fall on July 5th of next year, right after our nation’s 250th birthday.

As the Secretary noted, we are the greatest nation in the history of the world, the most benevolent nation in the history of the world, the most successful, most free, most powerful. And there’s a reason for that. I’ll just leave you with that thought.

America is built on these foundational principles, and among them is the idea of the free market, of individual financial stewardship and responsibility. The idea of capitalism is that everybody gets a shot. If you work hard and you play by the rules and you do your best, you can get to the next rung on that economic ladder.

And now with this, there’s a bit of a turbo boost to that idea. And while we’ve always believed in private property ownership, private ownership, as the Secretary noted, now, there is a platform, a new platform for private ownership.

What an extraordinary concept and what a big thing to celebrate as we celebrate our nation’s super centennial, as the President calls it, next year.

The idea that these principles and these foundational premises that make our great nation will flourish in a whole new way.

So, we’re so excited to be a small part of that. We’re so excited for the exceptional leadership, for the vision of President Trump, to do this. I can’t wait to tell everybody about Form 45-47. If we can only put an exclamation point at the end of the form number, that would have even perfect.

This is big stuff for a big, incredible country. So grateful to be a small part of it. Thank y’all so much for being here. God bless.

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Gosar Statement Lauding Senate Passage of the La Paz County Solar Energy and Jobs Creation Act

Source: United States House of Representatives – Congressman Paul A Gosar DDS (AZ-04)

Washington, DC — Congressman Paul A. Gosar, D.D.S. (AZ-09), issued the following statement following Senate passage of H.R. 1043, the La Paz County Solar Energy and Job Creation Act,legislation introduced by Congressman Gosar requiring the Secretary of the Interior to convey 3,400 acres of Bureau of Land Management land to La Paz County to help maximize additional renewable energy generation and energy storage capabilities, enhance the County tax base and facilitate transformative economic development:

“I applaud the Senate’s passage of my bipartisan legislation to unlock responsible solar development in La Paz County. H.R. 1043 conveys 3,400 acres of BLM land to strengthen the county’s tax base, create good-paying local jobs, and expand domestic renewable energy and storage capacity—advancing America’s energy independence.

This bill builds on my long-standing work, including the 2019 La Paz County Land Conveyance Act,to establish the county as a regional energy hub. By removing unnecessary federal barriers while preserving environmental stewardship, H.R. 1043 will attract private investment, lower energy costs, and drive lasting economic growth. 

At a time when Americans are demanding affordable energy and economic growth, this legislation does both. I look forward to President Trump signing my legislation into law,” stated Congressman Paul Gosar.

Background:

H.R. 1043 passed in the House of Representatives on July 21, 2025, and passed in the Senate last evening. The 3,400 acres proposed for conveyance in this legislation includes those remaining parcels in the original proposal that were not enacted into law and adds other parcels that are also compatible for clean energy development needed to unlock additional employment opportunities for La Paz County residents. 

WA Democratic Members Demand Answers from ICE on Deteriorating Conditions and Inadequate Food, Medical Care, and Access to Legal Counsel at NWIPC

Source: United States House of Representatives – Congresswoman Pramila Jayapal (7th District of Washington)

Washington, D.C. — Today, U.S. Senator Patty Murray (D-WA), Vice Chair of the Senate Appropriations Committee, led Members of the Washington state Congressional delegation in a letter to Acting Director of U.S. Immigration and Customs Enforcement (ICE) Todd Lyons, expressing grave concerns with conditions at the Northwest ICE Processing Center (NWIPC) in Tacoma, Washington and demanding answers to a long list of questions regarding overcrowding and lack of access to medical services, food, and legal counsel for individuals detained at the facility. The population at NWIPC has ballooned over the past year under the Trump administration’s indiscriminate and cruel mass deportation campaign, nearing—and at times exceeding—the facility’s maximum capacity of 1,575. 

The letter was sent to ICE by: Senator Patty Murray (D-WA), Senator Maria Cantwell (D-WA) and U.S. Representatives Suzan DelBene (D, WA-01), Rick Larsen (D, WA-02), Emily Randall (D, WA-06), Pramila Jayapal (D, WA-07), Kim Schrier (D, WA-08), Adam Smith (D, WA-09), and Marilyn Strickland (D, WA-10). 

“Our offices have received reports from local service providers and advocates that conditions and access to services at NWIPC have deteriorated in the last year as Immigration and Customs Enforcement (ICE) has chosen to detain more individuals at the facility,” the Members wrote in their letter. “In June, detained individuals were reportedly transferred to Alaska—far away from their families and legal representatives—because NWIPC reached capacity. None of this is remotely acceptable—you and the entire Trump administration have a basic moral and legal obligation to the people who have been detained and are under your care.”

“It is well established at this point that this administration is not prioritizing detaining violent criminals, but instead is detaining mostly peaceful, law-abiding immigrants with no criminal record who work hard and contribute to our communities,” the lawmakers continued. “With this in mind, we urge ICE to release noncitizens who do not pose a threat to public safety and to ensure necessary staff levels at NWIPC to protect the safety and basic dignity of the people in its custody.” 

In the letter, the Members raise concern over the lack of medical care for individuals detained at NWIPC and other ICE facilities, writing: “We are deeply concerned that the facility does not have sufficient medical staff and dedicated space to adequately provide medical care to the increased number of detained noncitizens. Additionally, we are incredibly concerned about challenges detainees face in accessing behavioral health care and other specialty care.”

The lawmakers’ letter also draws attention to reports from advocates that at least three pregnant women detained at NWIPC over the past year have been unable to receive appropriate medical care. Advocates also shared that at least one pregnant woman was shackled during transportation, which violates agency policy and raises concerns that medical information, such as whether a woman is pregnant, is not being properly documented by the facility.

The Members continued by raising concerns over the inadequate provision of meals at NWIPC and difficulty that detained individuals have in accessing legal counsel, writing: “Attorneys have faced significant delays to meet with their clients, making adequate legal counsel more difficult. This has become especially challenging when immigration courts advance noncitizens’ hearings by months without sufficient warning. At times, attorneys have had to wait at the facility for up to 6 hours to see their clients.”

The letter concludes by requesting answers to a list of questions by January 16th regarding capacity and staffing levels at NWIPC, the provision of food and medical care, access to legal counsel, treatment of pregnant women, and recent facility visits. “Please understand that we are paying close attention to the conditions at NWIPC—and your management of this facility,” the Members wrote. “We urge you to promptly review these concerns and take immediate steps to improve conditions and practices at NWIPC to comply with existing standards and laws and ensure that people in immigration detention are being treated with basic dignity and respect. Violations of the law or any abuse of human rights will not go unnoticed or unchallenged.”

Members of Washington state’s Congressional delegation have been conducting oversight of NWIPC throughout this year, despite the Trump administration’s efforts to block Congressional oversight of federal immigration detention facilities. After a protracted legal battle over Washington state’s ability to enforce health and safety standards at NWIPC, a federal appeals court ruled in August that the state should be allowed to enforce such standards at the detention center, and that failure to comply could result in fines of up to $10,000 per violation. 

The lawmakers’ full letter to ICE is available HERE and below:

Dear Acting Director Lyons:  

We are writing to share our grave concerns with conditions at the Northwest ICE Processing Center (NWIPC) in Tacoma, Washington and to request information about access to medical services, food, and legal counsel for detained noncitizens at the facility. Our offices have received reports from local service providers and advocates that conditions and access to services at NWIPC have deteriorated in the last year as Immigration and Customs Enforcement (ICE) has chosen to detain more individuals at the facility. In June, detained individuals were reportedly transferred to Alaska—far away from their families and legal representatives—because NWIPC reached capacity. 

None of this is remotely acceptable—you and the entire Trump administration have a basic moral and legal obligation to the people who have been detained and are under your care. 

You must ensure the facility complies with the 2011 Performance-Based National Detention Standards as revised in 2016 (PBNDS 2011) to keep detained noncitizens safe and healthy while protecting the rights they are entitled to under law. 

It is well established at this point that this administration is not prioritizing detaining violent criminals, but instead is detaining mostly peaceful, law-abiding immigrants with no criminal record who work hard and contribute to our communities. With this in mind, we urge ICE to release noncitizens who do not pose a threat to public safety and to ensure necessary staff levels at NWIPC to protect the safety and basic dignity of the people in its custody. 

Medical Care 

The federal government has a moral and legal obligation to protect the health of individuals in its custody. We have had long-standing concerns about access to medical services in ICE detention facilities. In recent years, several members of the Washington Congressional delegation requested that the Government Accountability Office (GAO) conduct a comprehensive review of the quality and accessibility of medical services for individuals in ICE custody. At times this year, NWIPC has exceeded 1,500 individuals in custody, nearing the facility’s maximum capacity of 1,575 individuals. We are deeply concerned that the facility does not have sufficient medical staff and dedicated space to adequately provide medical care to the increased number of detained noncitizens.

Additionally, we are incredibly concerned about challenges detainees face in accessing behavioral health care and other specialty care. During an August 2025 site visit, facility staff indicated the facility employed only four behavioral health staffers. There were reports of at least two suicide attempts at NWIPC in April. It is plainly inadequate to have four behavioral health staff serving the 1,500 detainees under the facility’s care, especially given the fact that serious behavioral health issues frequently emerge under the severe stress of detention. We are also alarmed by reports from advocates with access to the facility that at least three detained pregnant women at NWIPC have been unable to receive appropriate medical care, even after they request specialty prenatal care appointments. Regular exams such as ultrasounds are necessary to monitor development and ensure a healthy pregnancy. Advocates also shared that at least one pregnant woman was shackled during transportation, which violates agency policy and raises concerns that medical information, such as whether a woman is pregnant, is not being properly documented by the facility.

Food 

The Seattle Times recently reported on the inadequate provision of meals at NWIPC as the detained population has increased. Advocates who speak with detainees have shared that meals are provided late and, in some cases, detainees did not receive three meals per day. Detainees have made complaints about food and sanitation for many years, and we urge the facility to be responsive to the nutritional needs of individuals in its custody. Legal service providers with access to the facility have also shared that detainees waiting for video teleconferencing (VTC) hearings may miss meals. We urge the facility to ensure that all detained noncitizens, including those awaiting hearings or visits, are provided a minimum of three meals per day, as required by national detention standards (PBNDS 2011). 

Access to Legal Counsel

Access to legal resources for noncitizens in immigration detention supports their ability to understand their rights and navigate immigration court, preventing backlogs in the immigration court system. Detained noncitizens at NWIPC face several concerning barriers to accessing legal counsel. Attorneys have faced significant delays to meet with their clients, making adequate legal counsel more difficult. This has become especially challenging when immigration courts advance noncitizens’ hearings by months without sufficient warning. At times, attorneys have had to wait at the facility for up to 6 hours to see their clients. This August, two of the seven attorney visitation rooms were being used as Virtual Attorney Visitation rooms (VAVs) and two were being used for video teleconferencing (VTC) hearings, leaving only three rooms available for attorneys to meet with their clients in person. We have also heard from advocates with access to the facility that, at times, only one visitation room was available and interviews for facility staff were being conducted in these attorney visitation rooms. 

In the Fiscal Year 2023 Consolidated Appropriations Act, Congress provided $10,000,000 for ICE to improve legal resources for noncitizen detainees, including to expand video attorney visitation. During an August 2025 site visit, NWIPC staff indicated that the facility recently implemented a new scheduling system to reserve attorney visitation rooms. We ask that the facility work with attorneys to resolve any issues that arise with the new system expeditiously so as not to delay access to legal counsel. We urge you to improve access to legal counsel by ensuring attorney visitation rooms remain available for attorneys to meet with their clients. 

Given these concerns, we request answers to the following questions by January 16, 2026: 

  1. What is the maximum capacity of NWIPC, as determined by the fire marshal? As of November 1, 2025, how many individuals were detained at the facility?  
  1. How many staff were employed by NWIPC on January 20, 2025? Of this cohort, how many were trained and certified medical services providers who routinely provided direct medical services? 
  1. As of November 1, 2025, how many staff were employed by NWIPC? Of this cohort, how many were trained and certified medical services providers who routinely provide direct medical services? 
  1. As of November 1, 2025, how many pregnant women were detained at NWIPC? How often have these women requested, and how often have they received, prenatal care appointments with a specialist? 
  1. How many days in the last six months has the facility not provided three meals each day to every noncitizen in its custody?
  1. Why did the facility not provide three meals each day to every noncitizen? 
  2. For each day, for how many noncitizens were three meals not provided?
  1. What is the current status of the Legal Orientation Program (LOP) at NWIPC? Are noncitizens able to access LOP daily? What are the hours of availability each day? Outside of hours, are there any other restrictions on daily LOP access, and if so, what are they and why are they in place?
  1. How many attorney visitation rooms are currently available for in-person attorney meetings? How many attorney visitation rooms are currently available for virtual attorney meetings? 
  2. In the last six months, have the attorney visitation rooms been used for a purpose other than attorney-client meetings (in-person or virtual) or video teleconferencing (VTC) hearings? 
  1. When were the most recent facility visits by the Department of Homeland Security’s (DHS) Office of Inspector General, DHS Office of the Immigration Detention Ombudsman (OIDO), the DHS Office for Civil Rights and Civil Liberties, and ICE oversight personnel (whether the Office of Professional Responsibility or otherwise)? What, if any, recommendations were made after each visit? What progress has been made to implement such recommendations?
  1. OIDO issued a report in November 2024 following an inspection of NWIPC. While 11 of the recommendations have been addressed, one remains outstanding. What progress has been made on implementing the remaining recommendation?   

Thank you for your attention to this matter. 

Please understand that we are paying close attention to the conditions at NWIPC—and your management of this facility. 

We urge you to promptly review these concerns and take immediate steps to improve conditions and practices at NWIPC to comply with existing standards and laws and ensure that people in immigration detention are being treated with basic dignity and respect. 

Violations of the law or any abuse of human rights will not go unnoticed or unchallenged.

Sincerely,  

Issues:

ENDORSEMENT ALERT: GOP Doctors Caucus supports Carter bill to reduce prescription drug costs

Source: United States House of Representatives – Congressman Earl L Buddy Carter (GA-01)

Headline: ENDORSEMENT ALERT: GOP Doctors Caucus supports Carter bill to reduce prescription drug costs

WASHINGTON, D.C. – The GOP Doctors Caucus this week announced its endorsement of Rep. Earl L. “Buddy” Carter’s (R-GA) bipartisan bill, the PBM Reform Act, which will reduce the cost of lifesaving drugs for patients by protecting patients and pharmacies from the harmful and anticompetitive business practices of pharmacy benefit managers (PBMs).

“Pharmacy Benefit Managers (PBMs) are middlemen that drive up the cost of lifesaving drugs for patients,” said GOP Doctors Caucus Co-Chairs Rep. Greg Murphy, M.D. & Rep. John Joyce, M.D. “Reform is long overdue to rein in the abuse of PBMs, which prioritize profits over patients through shady practices such as pushing high-cost drugs, limiting consumer access, monopolizing the market, and reimbursing pharmacies at unacceptable rates. This legislation will make much-needed reforms to put patients first.”

“It’s time to bust up the PBM monopoly, which has been stealing hope and health from patients for decades. As a pharmacist, I’ve seen how PBMs abuse patients firsthand, and I believe that the cure to this infectious disease is transparency, competition, and accountability, which is exactly what our bipartisan package provides,” said Rep. Carter. “I thank the GOP Doctors Caucus, of which I’m a proud member, for its endorsement today and urge House floor consideration of this critical bill.”

The PBM Reform Act will: 

  • Ban “spread pricing” in Medicaid and move to a transparent system that ensures pharmacies are fairly and adequately reimbursed for serving Medicaid beneficiaries.
  • Establish new requirements for PBMs under Medicare Part D, including a policy to delink PBM compensation from the cost of medications and increase transparency. 
  • Promote transparency for both employers and patients in their prescription drug plans, with semi-annual reporting on drug spending, rebates, and formulary determinations.
  • Require the Centers for Medicare and Medicaid Services (CMS) to define and enforce “reasonable and relevant” contract terms in Medicare Part D pharmacy contracts and enforce oversight on reported violations.

Read full bill text here.

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Carter-led bill reducing unnecessary animal testing passes Senate

Source: United States House of Representatives – Congressman Earl L Buddy Carter (GA-01)

Headline: Carter-led bill reducing unnecessary animal testing passes Senate

WASHINGTON, D.C. – Rep. Earl L. “Buddy” Carter (R-GA) today celebrated passage of the Senate companion to his bipartisan bill, the FDA Modernization Act 3.0.

This bill will require the Food and Drug Administration (FDA) to fully implement the FDA Modernization Act 2.0, signed into law in 2022, ensuring that safe and effective treatments are developed for patients using advanced and innovative non-animal testing methods.

The bill now heads to the House for consideration. 

“It is inhumane to rely solely on animal testing of medical products when other, harmless methods exist that are more predictive of human outcomes. The FDA Modernization Act 2.0, and today’s vote by the Senate, have paved the way for modernizing the FDA’s testing methods. This bill will accelerate innovation and get safer, more effective drugs to market quickly by cutting unnecessary red tape,” said Rep. Carter. “There is no reason for the House to delay its vote on this necessary, bipartisan bill that strengthens recent actions by the Trump administration.” 

Original co-sponsors of the House bill include: Reps. Nanette Barragán (D-CA), Vern Buchanan (R-FL), Rosa DeLauro (D-CT), Diana Harshbarger (R-TN), and Troy Carter (D-LA). 

The Senate bill is led by: U.S. Senators Cory Booker (D-NJ), Eric Schmitt (R-MO), Rand Paul (R-KY), Angus King (I-ME), Sheldon Whitehouse (D-RI), John Kennedy (R-LA), Richard Blumenthal (D-CT), Ben Ray Luján (D-NM), and Roger Marshall (R-KS). 

Read full bill text here.

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