Tag: Republicans

  • Republicans could end the government shutdown tomorrow

    Republicans could end the government shutdown tomorrow

    The Republican Party controls the federal government. It holds the majority in the House and the Senate, and controls the White House, as well.

    Republicans could end the government shutdown tomorrow. A quick vote by the majority in the House and, after a rules change, by the majority in the Senate, followed by a presidential signature, would pass a budget into law and reopen the government.

    Yet, absurdly, President Donald Trump and his followers are blaming congressional Democrats for the shutdown. This is ridiculous. The Democrats have little power in Washington these days.

    Their only sway comes in the ability to filibuster in the Senate, but that can be easily taken away by a simple majority vote by the Republicans.

    No, as President Trump might say, the Republicans hold all the cards.

    The president, for months, has been openly targeting Democrats as he uses and misuses his presidential powers.

    Threatening Democrats

    He states, on the record, that he will defund what he considers Democratic programs, agencies, and communities. He brags about using federal law enforcement and even the military in American cities, even though their Democratic leaders object.

    House Speaker Mike Johnson gathers Republican leaders at a news conference last week to blame Democrats for the government shutdown. That’s ridiculous, writes Joseph Hoeffel.

    The country has never seen such presidential partisanship, overreach, and lawlessness.

    Now, Kristi Noem, the secretary of Homeland Security, is abusing her powers and playing politics regarding the shutdown.

    Last week, she produced a video for the Transportation Security Administration, which she supervises, to show at TSA security checkpoints in airports across the country. In the video, Noem blames congressional Democrats for the government shutdown and any related travel delays.

    She says, in part, “Democrats in Congress refuse to fund the federal government, and because of this, many of our operations are impacted … our hope is that Democrats will soon recognize the importance of opening the government.”

    Congress created the U.S. Department of Homeland Security in 2002 with strong majority votes in each chamber.

    No member suspected that a future secretary would so blatantly engage in partisanship on the job. Petty politics should never infect this particular department and its critical national security responsibilities.

    A number of airports around the country, including Los Angeles, Phoenix, Cleveland, and Charlotte, N.C., are refusing to run the TSA video, citing the political nature of its content.

    Any airport, public or private, that receives federal or state funding could be breaking the laws against political activity by recipients of government money if they show the video.

    I doubt this legal jeopardy Noem is creating through her avid partisanship will give her any pause. Nor will any worries about her job security.

    She is doing exactly what Trump wants her to do: Blame the Democrats at every opportunity for anything that is not working in the federal government.

    But the Republicans could pass a budget and reopen the government tomorrow.

    They need only to suspend the Senate rule that permits the Democrats to filibuster. Any Senate rule can be changed at any time by a simple majority vote.

    Elections have consequences

    In fact, the Senate Republicans just suspended such a rule last month so they could approve a large group of military and civilian appointees by a single en bloc vote, rather than the regular process of individual committee hearings and separate votes on each appointee.

    I am sure I would not like the budget priorities that unfettered congressional GOP majorities and Trump would produce.

    But elections have consequences.

    A single party controls our federal government by the will of the voters. I accept that and will fight it out at the next election.

    Why won’t the Republicans pass a budget and end the government shutdown? Do they think playing the political blame game is more important than governing?

    Let them use the power the voters gave them and accept the responsibility to govern. Let them accept the credit or the blame for the actions they take.

    And stop blaming the Democrats because the Republicans will not do their job.

    Joseph Hoeffel is a former Democratic member of Congress from Montgomery County (13th Congressional District, 1999-2004). He lives in Abington.

  • The Pa. Senate GOP approved a budget bill that Democrats say won’t even cover the state’s obligations

    The Pa. Senate GOP approved a budget bill that Democrats say won’t even cover the state’s obligations

    HARRISBURG — The Republican-led Pennsylvania Senate sent a $47.9 billion spending plan to the state House on Tuesday, but the proposal was dead on arrival and deemed “unserious” in the Democratic-controlled chamber, marking the latest chapter of the nearly four-month-long budget impasse in the state’s bitterly divided legislature.

    The Senate GOP plan, which passed the chamber by a 27-23 vote along party lines, included a $300 million, or 0.6%, total increase over last year’s budget that is intended to cover the state’s debt service and pension obligations, in addition to cutting operational spending for the legislative body by 5%, said Senate Majority Leader Joe Pittman (R., Indiana).

    The Republican senators’ spending plan amended a bill that passed with a narrow bipartisan majority in the House earlier this month to spend $50.25 billion for the 2025-26 fiscal year, allow for significant increases in public education spending, and cover increased Medicaid expenses.

    The House Democrats’ $50.25 billion spending bill was a slight decrease from the $51.5 billion budget proposal Democratic Gov. Josh Shapiro pitched in February. And it was an attempt by House Democrats at reaching a compromise — decreasing their proposed spending by 2.4% over Shapiro’s initial pitch — after encouragement from Senate President Pro Tempore Kim Ward (R., Westmoreland) for legislative leaders to bring the usually closed-door budget negotiations into the public eye.

    But the Senate GOP’s counteroffer passed Tuesday included little compromise and little increase in spending. However, it is a budget that would fund Pennsylvania’s needs rather than wants, several top GOP senators said during floor debate on the bill.

    “All it takes is one day and one vote to end this ‘Shapiro Shutdown,’” Pittman said in his floor remarks in support of the GOP budget bill.

    Several GOP senators noted the state’s fiscal outlook as the reason lawmakers cannot afford to spend much more over last year, as Pennsylvania is on track to bring in $46.4 billion during the 2025-26 fiscal year, which is significantly less than Shapiro and House Democrats want to spend.

    Pennsylvania is sitting on approximately $10 billion in reserves, from its leftover balance from the 2024-25 fiscal year and its hefty Rainy Day Fund. Democrats want to tap into those reserves and reinvest them in the state, while Republicans believe it is critical to protect those funds to maintain the state’s bond rating or cut taxes as a way to reinvest those surpluses back into taxpayers’ pockets.

    Top Senate Republicans on Tuesday urged the state House to return to session and pass their $47.9 billion spending plan as the most responsible way to protect Pennsylvania taxpayers in future years. And some offered criticism of Shapiro, who has continued to host news conferences around Pennsylvania during the 113-day budget impasse, accusing the governor of failing to lead in Harrisburg on budget negotiations.

    “If you want to have an honest conversation about how to get this budget done, a governor gallivanting across the state taking potshots at members of this caucus doesn’t help,” Pittman said.

    What was not mentioned Tuesday among Senate Republicans was that $47.9 billion is the highest number that the most conservative members of the GOP Senate caucus have pledged to spend. Sen. Dawn Keefer (R., Cumberland), who led the House Freedom Caucus before her election to the state Senate last year, even went as far as to take a flamethrower to a replica of Shapiro’s budget proposal in a social media video earlier this year while promising viewers through a rhyme that she would “hold the line at $47.9″ billion.

    Sign posted by the PA Senate at the Pennsylvania State Capitol in Harrisburg Aug. 26, 2025, reminds visitors of the state’s “multi-billion dollar structural deficit.”

    Senate Democrats firmly rejected the GOP plan as a farce that would not cover the state’s obligations for this fiscal year or make critical increases to public education funding needed to improve Pennsylvania’s school funding system. The top Senate Democratic leader, Sen. Jay Costa (D., Allegheny), tried several legislative maneuvers to try to get the Senate to vote on the House Democrats’ bill instead of the GOP proposal, all of which failed.

    “They thumbed their noses and they said, ‘Go to heck,’” State Sen. Vincent Hughes (D., Philadelphia), the minority chair of the Senate Appropriations Committee, said of his GOP colleagues’ response to the House bill ahead of Tuesday’s vote.

    Senator Vincent Hughes, speaks at the Round table with Pennsylvania lawmakers, stakeholders, health systems to discuss potential cuts to Medicaid and ACA at the University City Science Center in Philadelphia, Pa., on Tuesday, April 22, 2025.

    Shapiro, following a news conference in Allegheny County on Tuesday, voiced a similar sentiment when he told reporters the Senate’s proposal was “a joke” and “not designed to be serious or get the job done.” He again urged top GOP Senate leaders to begin meeting with top House Democrats to finalize a budget deal.

    Budget talks have largely stalled since August, when the urgency for a deal seemed to dwindle after Shapiro and Democrats agreed to remove mass transit from the negotiation table, a top Democratic priority.

    “I’m sorry transit didn’t get funded. But just because your top priority didn’t get addressed doesn’t mean that our priorities are no longer relevant, and that’s a hard truth,” Pittman, who has been critical of Pennsylvania’s mass transit systems and was a major roadblock in finalizing a deal, said Tuesday.

    And, as evidenced by Tuesday’s vote, leaders still do not agree on how much Pennsylvania should spend for the current fiscal year, now almost in its fifth month. Pennsylvania is the only state in the nation without any spending plan. North Carolina, which passed a six-month budget in early summer, returned to session this week to finish budget negotiations.

    During the stalemate, schools, counties, and service providers have had to lay off staff or take out significant loans to stay afloat in the absence of any state payments. School districts have had to make up more than $3 billion in expected payments from the state during the monthslong impasse.

  • John Fetterman sides with Republicans on ending the filibuster to reopen the government: ‘The only losers are the American people now’

    John Fetterman sides with Republicans on ending the filibuster to reopen the government: ‘The only losers are the American people now’

    Sen. John Fetterman (D., Pa.) said he would back a Republican plan to override the Senate filibuster if it meant passing a bill to reopen the government.

    In an interview with The Inquirer on Tuesday, Fetterman admonished fellow Democrats who balk at the notion of using the so-called nuclear option to end the filibuster: “When I ran for Senate, everyone, including myself, said we’ve got to get rid of the filibuster. I don’t want to see any Democrats clutching their pearls about it now.

    “If we’d had our way, the filibuster wouldn’t have been around for years.”

    A staple of the Senate that has long been debated, the filibuster requires 60 votes to pass most legislation in the chamber.

    Republicans have long vowed to protect the filibuster, noting that the 60-vote threshold presents a check on Democrats when they have the majority, but it’s now the rule standing in the way of their government funding bill. And in recent months, leaders have made moves to further weaken the minority party’s power, including bypassing the need to get Democratic support to confirm a slate of President Donald Trump’s nominees last month. Senate Majority Leader John Thune (R., S.D.) has thus far said he won’t use the same tactic to reopen the government.

    Fetterman’s comments on Tuesday followed several Republicans floating the idea of getting rid of the filibuster in recent days.

    Fetterman is one of three members of the Democratic caucus who voted with Republicans to reopen the government earlier this month, joining Sens. Catherine Cortez Masto of Nevada and Angus King, a Maine independent.

    “If you look at my record, I’ve been voting the Democratic line, but this is different now. The tactic is wrong,” Fetterman said.

    He said his main concern is the possibility that people in the state and across the country would face hunger if the federal government shutdown continues and Americans lose their Supplemental Nutrition Assistance Program (SNAP) benefits beginning Nov. 1.

    “Nobody checks their political party when they’re hungry,” he said. “It’s not about a political side blinking. The only losers are the American people now.”

    Fetterman added that he is in favor of extending tax credits, as Democrats are demanding during the shutdown. With those tax credits set to expire, people are going to start seeing higher prices when they sign up for health insurance come open enrollment in November, experts say.

    “I don’t want people clobbered,” Fetterman said. “But Democrats designed them to expire this year. We passed these things when we were in the majority.”

    Seeing room for dialogue, Fetterman said Thune “is an honorable man, and I believe a productive conversation to extend tax credits can be had with him.”

    Sen. Andy Kim (D., N.J.) said he had multiple conversations with Senate Republicans on Tuesday who said they would “adamantly oppose” ending the filibuster.

    “That’s been a huge part of how they’ve been able to lock down power here in D.C. before,” Kim said.

    He said from his perspective, Senate Democrats are focused on getting the House back to work to negotiate a deal that includes the extended healthcare subsidies in a government funding bill.

    “This is not an issue of Senate procedure. This is an issue of just doing our job.” Kim did not comment on Fetterman’s support for a filibuster carveout to end the shutdown.

    In 2022, according to the media and politics site Mediaite, every Senate Democrat with the exceptions of then-Sens. Joe Manchin of West Virginia and Kyrsten Sinema of Arizona voted to eliminate the filibuster in a failed effort to pass former President Joe Biden’s elections overhaul.

    A sometimes contrary figure, Fetterman has taken controversial stands in the past and is one of few Democrats who actively works with Republicans.

    He has been criticized by progressives for his unwavering support of Israel in its war against Hamas.

    And Fetterman garnered the enmity of some Democrats (and the praise of President Donald Trump) when he defended Immigration and Customs Enforcement by saying fellow Democrats’ calls to abolish the agency were “inappropriate and outrageous.”

  • Trump hosts Senate Republicans at renovated White House as the shutdown drags into fourth week

    Trump hosts Senate Republicans at renovated White House as the shutdown drags into fourth week

    WASHINGTON — Head Start programs for preschoolers are scrambling for federal funds. The federal agency tasked with overseeing the U.S. nuclear stockpile has begun furloughing its 1,400 employees. Thousands more federal workers are going without paychecks.

    But as President Donald Trump welcomed Republican senators for lunch in the newly renovated Rose Garden Club — with the boom-boom of construction underway on the new White House ballroom — he portrayed a different vision of America, as a unified GOP refuses to yield to Democratic demands for healthcare funds, and the government shutdown drags on.

    “We have the hottest country anywhere in the world, which tells you about leadership,” Trump said in opening remarks, extolling the renovations underway as senators took their seats in the newly paved over garden-turned-patio.

    It was a festive atmosphere under crisp, but sunny autumn skies as senators settled in for cheeseburgers, fries, and chocolates, and Trump’s favored songs — “YMCA” and “You Can’t Always Get What You Want” — played over the new sound system.

    And while Trump said the shutdown must come to an end — and suggested maybe Smithsonian museums could reopen — he signaled no quick compromise with Democrats over the expiring healthcare funds.

    Later at another White House event, Trump said he’s happy to talk with Democrats about healthcare once the shutdown is over. “The government has to be open,” he said.

    Shutdown drags into record books

    As the government shutdown enters its fourth week — on track to become one of the longest in U.S. history — millions of Americans are bracing for healthcare sticker shock, while others are feeling the financial impact. Economists have warned that the federal closure, with many of the nearly 2.3 million employees working without pay, will shave economic growth by 0.1 to 0.2 percentage points per week.

    The Democratic leaders Sen. Chuck Schumer and Rep. Hakeem Jeffries had outreached to the White House on Tuesday, seeking a meeting with Trump before the president departs for his next overseas trip, to Asia.

    “We said we’ll set up an appointment with him anytime, anyplace before he leaves,” Schumer said.

    With Republicans in control of Congress, the Democrats have few options. They are planning to keep the Senate in session late into the night Wednesday in protest. The House has been closed for weeks.

    The Republican senators, departing the White House lunch with gifts of Trump caps and medallions, said there is nothing to negotiate with Democrats over the healthcare funds until the government reopens.

    “People keep saying ‘negotiate’ — negotiate what?” Senate Majority Leader John Thune said after the hour-long meeting. He said Republicans and the president are willing to consider discussions over healthcare, “but open up the government first.”

    Missed paychecks and programs running out of money

    While Capitol Hill remains at a standstill, the effects of the shutdown are worsening.

    Federal workers are set to miss additional paychecks amid total uncertainty about when they might eventually get paid. Government services like the Special Supplemental Nutrition Program for Women, Infants and Children, known as WIC, and Head Start preschool programs that serve needy families are facing potential cutoffs in funding. On Monday, Energy Secretary Chris Wright said the National Nuclear Security Administration is furloughing its federal workers. The Federal Aviation Administration has reported air traffic controller shortages and flight delays in cities across the United States.

    At the same time, economists, including Goldman Sachs and the nonpartisan CBO, have warned that the federal government’s closure will ripple through the economy. More recently, Oxford Economics said a shutdown reduces economic growth by 0.1 to 0.2 percentage points per week.

    The U.S. Chamber of Commerce noted that the Small Business Administration supports loans totaling about $860 million a week for 1,600 small businesses. Those programs will close to new loans during the shutdown. The shutdown also has halted the issuance and renewal of flood insurance policies, delaying mortgage closings and real estate transactions.

    Rising healthcare costs

    And without action, future health costs are expected to skyrocket for millions of Americans as the enhanced federal subsidies that help people buy private insurance under the Affordable Care Act, come to an end.

    Those subsidies, in the form of tax credits that were bolstered during the COVID-19 crisis, expire Dec. 31, and insurance companies are sending out information ahead of open enrollment periods about the new rates for the coming year.

    Most U.S. adults are worried about healthcare becoming more expensive, according to a new Associated Press-NORC Center for Public Affairs Research poll, as they make decisions about next year’s health coverage.

    Members of both parties acknowledge that time is running out to fix the looming health insurance price hikes, even as talks are quietly underway over possible extensions or changes to the ACA funding.

    Democrats are focused on Nov. 1, when next year’s enrollment period for the ACA coverage begins and millions of people will sign up for their coverage without the expanded subsidy help. Once those sign-ups begin, they say, it would be much harder to restore the subsidies even if they did have a bipartisan compromise.

    What about Trump?

    Tuesday’s White House meeting offered a chance for Republican senators to engage with the president on the shutdown after he had been more involved in foreign policy and other issues.

    But senators left the meeting, some saying it was more of a luncheon than a substantial conversation. They said they could hear, but not see, the ballroom construction nearby.

    Trump had previously indicated early on during the shutdown that he may be willing to discuss the healthcare issue, and Democrats have been counting on turning the president’s attention their way. But the president later clarified that he would only do so once the government reopens.

  • The Shapiro administration has posted messages blaming Republicans for the government shutdown, impacts to SNAP benefits

    The Shapiro administration has posted messages blaming Republicans for the government shutdown, impacts to SNAP benefits

    As nearly 2 million Pennsylvanians brace for the loss of their food assistance next month due to the federal government shutdown, the Pennsylvania Department of Human Services is pinning the blame on Republicans on Capitol Hill.

    States administer the federally funded Supplemental Nutrition Assistance Program, which provides support to low-income people, including families with children. But as the standoff in Congress prevents federal funding from flowing to states, Democratic Gov. Josh Shapiro’s administration entered the messaging battle over the cause of the disruption to benefits.

    “Because Republicans in Washington D.C., failed to pass a federal budget, causing the federal government shutdown, November 2025 SNAP benefits cannot be paid,“ reads a pastel orange banner on the DHS website from Friday, alerting recipients of the Supplemental Nutrition Assistance Program to the impending changes.

    The message reflects the mounting impacts of the government shutdown, which is in its third full week, and the growing political tensions between Republicans and Democrats on the state and national levels after lawmakers failed to pass funding to avert a government shutdown by Oct. 1.

    Shapiro has frequently gone head-to-head with the Trump administration, but the use of a state government website is a notable escalation.

    The governor said in a news release Monday that Congress already had kicked off hundreds of thousands of Pennsylvanians from Medicaid and SNAP when it passed President Donald Trump’s One Big Beautiful Bill Act in July.

    “Now, Republicans are once again threatening vital support for Pennsylvania families and children — it’s time for them to pass a federal budget and end this shutdown.”

    Pennsylvania Human Services Secretary Val Arkoosh added that “Inaction from Republicans in Congress” jeopardizes the well-being of Pennsylvanians.

    A significant impact will be felt next month in Philadelphia, where half a million people will not receive SNAP benefits. The program, which is funded by the U.S. Department of Agriculture, serves households including elderly people, individuals with disabilities, and children.

    Another Democratic-led state, Illinois, also referred to the lapse in funding as the “Republican federal government shutdown” on its benefits webpage. Other Democratic-led states near Pennsylvania, New Jersey and Delaware, have not posted political messages on their states’ SNAP benefits pages.

    Republicans in Pennsylvania criticized the use of the DHS website for a partisan message.

    “Public service isn’t a political weapon and using a government website to fuel your partisan agenda is indefensible,” the Pennsylvania GOP wrote Monday in a post on X.

    However, the Trump administration has also been using its official government websites for partisan rhetoric on the national level, potentially raising red flags related to federal ethics laws.

    The shutdown is “Democrat-led,” says the Trump administration’s State Department website.

    “The Radical Left in Congress shut down the government,” declares a bright red banner on the U.S. Department of Housing and Urban Development homepage.

    The rising political pressure comes as the Trump administration began rolling out highly politicized messaging to the public and federal employees after the government shutdown began earlier this month.

    Last week, Philadelphia International Airport and other airports refused to play a video from Homeland Security Secretary Kristi Noem that inculpates Democratic members of Congress for the shutdown.

    And some federal workers — nonpartisan civil servants who have been coping with plummeting morale and either being furloughed or working without pay during the shutdown — have been on the receiving end of politicized messaging, too.

    A message to federal employees ahead of the Oct. 1 funding deadline proclaims that Trump “opposes a government shutdown.”

    Any lapse in appropriations, the message continues, is “forced by Congressional Democrats.”

  • Gov. Josh Shapiro will release a memoir in 2026

    Gov. Josh Shapiro will release a memoir in 2026

    Pennsylvania Gov. Josh Shapiro will release a memoir next year detailing his career and personal life, including when a man firebombed the governor’s mansion while Shapiro and his family slept inside and his place on the short list for Kamala Harris’ vice president.

    On Tuesday, Harper — an imprint of HarperCollins Publishing — announced the release of Shapiro’s forthcoming memoir, Where We Keep the Light: Stories From a Life of Service, which will hit shelves on Jan. 27, 2026.

    Shapiro is the latest potential 2028 Democratic presidential contender to announce a book deal, another step in building and defining a national profile.

    Shapiro, 52, has worked in some level of government for his entire career: on Capitol Hill as a staffer, in Montgomery County as a commissioner, and in Harrisburg as a state representative, attorney general, and now governor. He has noted that he has never lost an election, going back to his election as student body president his freshman year at the University of Rochester. Along the way, elected officials have whispered about his talents as a politician, orator, and rumored presidential ambitions.

    The Montgomery County native has become a key player in the national Democratic Party, touting a brand as a governor of a split legislature in the most sought-after swing state. His administration’s motto is “Get Stuff Done,” which he defines as bringing Democrats and Republicans together to accomplish long-delayed reforms, or restarting residents’ trust by improving their interactions with state government. (Pennsylvania still has not finished its state budget, which was due July 1, as legislators from the Democratic-controlled House and GOP-controlled Senate cannot agree on how much they should spend this fiscal year and causing school districts, counties, and nonprofits to take out significant loans to continue offering services during the 113-day budget impasse.)

    Shapiro’s rise through the Democratic Party ranks skyrocketed last year, when he became a front-runner for vice president during Harris’ whirlwind, 107-day presidential campaign, in which she ultimately chose Minnesota Gov. Tim Walz as her running mate. Harris also released a book this year, which includes stories from her interview with Shapiro for the role.

    Pennsylvania Gov. Josh Shapiro speaks during the Democratic National Convention Wednesday, Aug. 21, 2024, in Chicago.

    While book deals are often signifiers for officials hoping to take another step up in government, Shapiro still faces reelection next year. He will likely face Treasurer Stacy Garrity, a Republican who has already captured the state GOP’s endorsement. Garrity is a retired U.S. Army colonel, and has focused some of her criticisms of Shapiro thus far on his presumed eye for higher office. However, Shapiro still maintains a high approval rating in Pennsylvania, a state President Donald Trump won last year.

    Shapiro’s memoir will also detail the arson attack on the governor’s mansion, in which, just hours after Passover earlier this year, Cody Balmer set the home ablaze with incendiary devices. Balmer pleaded guilty last week to attempted murder.

    Shapiro, who was born in Kansas City, Mo., before moving to Montgomery County, has credited his upbringing by his parents — his father a pediatrician, and his mother an educator — as laying the foundation for his life in public service. Shapiro has four children and is married to his high school sweetheart, Lori. He and his family still live in Abington Township and split their time between their family home and the governor’s mansion in Harrisburg.

  • Medicare coverage for telehealth suspended as result of government shutdown

    Medicare coverage for telehealth suspended as result of government shutdown

    Steve Hirst relies on virtual visits with his urologist, whose office is an hour away from his Broomall home, to stay on top of his treatment plan and renew medications.

    But earlier this month Hirst, 70, got a notice from his doctor’s office informing him that it could no longer schedule telemedicine visits for patients like him who have Medicare because of new federal policy changes.

    Medicare began covering telemedicine services during the COVID-19 pandemic and has maintained the popular offering through temporary waivers approved by Congress since. But the most recent of those waivers expired at the end of September when Congress failed to reach a budget deal and the government shut down.

    The change specifically affects traditional Medicare, which is administered by the government for people 65 and older and some with disabilities. People with Medicare Advantage plans, which are administered by private insurers, should check with their plan.

    Medicare coverage for virtual visits for mental health was made permanent after the pandemic and are not affected by the shutdown.

    Some of the Philadelphia area’s leading health systems, including Temple Health and Penn Medicine, have said they are continuing to provide telehealth services to people with Medicare and temporarily suspending billing for those services, with hope that coverage will be reinstated when a budget deal is eventually reached.

    But smaller provider practices may not have the luxury of delaying payment for thousands of dollars in services for an indefinite period of time.

    With the government shutdown in its third week, Republicans and Democrats seem no closer to reaching a deal. The next vote is scheduled for Monday evening, though no deal is expected.

    Another health policy issue — tax credits for people who buy insurance through Affordable Care Act marketplaces, including Pennie in Pennsylvania — has been a major sticking point in the ongoing federal budget debate. Democrats want the enhanced subsidies extended permanently as part of the budget deal, and Republicans have refused, arguing that lawmakers could address the issue separately, before the subsidies expire at the end of the year.

    Meanwhile, the waiver’s expiration has left Hirst and others who are covered by Medicare unsure how they will access needed health services.

    Telehealth’s rise

    Telehealth rose in popularity during the COVID-19 pandemic, when people were urged to avoid hospitals unless they were having an emergency and when most routine procedures were canceled.

    The approach was especially helpful to older adults and people with disabilities, who needed to stay in contact with doctors for ongoing treatment and who were considered particularly vulnerable to severe illness from COVID-19.

    After the pandemic ended, many private insurers, Medicaid, and Medicare permanently adopted telehealth coverage for certain services, such as mental health, because of its popularity during the pandemic.

    Medicare has used temporary waivers to continue telehealth coverage for other types of doctors’ visits.

    Beyond patient popularity, research has found that telehealth visits can be as effective as in-person visits for certain types of care, such as palliative care for cancer patients, while improving access to patients with transportation challenges.

    Philadelphia health systems respond

    Philadelphia’s largest health systems said they are optimistic that coverage will be reinstated — either by a new temporary waiver or a permanent change — when Congress reaches a new budget agreement and the shutdown ends.

    Temple Health will continue to provide telehealth services to Medicare patients for the next three weeks, in anticipation of Congress reaching a deal.

    Penn Medicine has not billed Medicare patients for telehealth visits since the shutdown began and has paused its process for filing claims until the government reopens, a spokesperson said.

    “Congress has been vocal in its support of telehealth and its value, and we are hopeful that legislation will be passed to ensure permanent Medicare telehealth coverage and flexibilities once the government reopens,” Penn said in a statement.

    Main Line Health has been reaching out to affected patients to help them change previously scheduled virtual visits into in-person appointments or reschedule virtual visits that can be put off.

    Jefferson Health did not respond to a request for comment in time for publication.

    Patients in limbo

    Hirst drives into Philadelphia to see his urologist in person once a year. Every three months, he has a virtual visit to check in and renew prescriptions.

    Driving to Philadelphia for every appointment would be inconvenient, but Hirst will probably do it “for now,” he said.

    But he worries about older adults and people with disabilities who can’t safely drive to the doctor’s office, and for whom virtual care is a lifeline. They could end up putting themselves or others at risk being on the road when they shouldn’t be. Or they may end up skipping needed care because they don’t have a ride.

    “It makes no sense,” Hirst said.

  • Federal shutdown may bring a halt to food assistance for half a million Philadelphians

    Federal shutdown may bring a halt to food assistance for half a million Philadelphians

    Nearly 2 million Pennsylvanians — including 500,000 Philadelphia residents — won’t receive SNAP benefits in November if the federal government shutdown continues, state officials said.

    The Supplemental Nutrition Assistance Program provides $366 million a month to low-income people in the state, according to the Pennsylvania Department of Health and Human Services (DHS). Most households that receive SNAP benefits consist of elderly people, children, or individuals with disabilities, according to hunger experts.

    This is the first federal shutdown in at least 20 years in which SNAP will not be made available, said George Matysik, executive director of the Share Food Program, a food bank that serves 500,000 people living in the region.

    “It’s like a horror movie where the call is coming from within the house,” Matysik said in an interview last week. “Our own federal government is making the choice to take benefits from Pennsylvanians,” who are among 42 million people nationwide who participate in the program.

    In Philadelphia, Share has seen a 120% increase in food need over the last three years, Matysik said. “And that was with SNAP,” he added, saying the city faces a greater food crisis now than it did during the pandemic.

    In an email Monday, the Pennsylvania DHS blamed Republicans “who control the U.S. Senate, the U.S. House, and the White House” for failing to pass a budget and causing the current difficulties Americans endure.

    “We urge Republicans in Congress to reopen the government and protect vulnerable Pennsylvanians at risk because of this inaction,” the email said.

    Gov. Josh Shapiro’s office could not be reached for comment. In May, Shapiro said that the commonwealth would be unable to replace lost funding for SNAP should the federal government fail to pay.

    The U.S. Department of Agriculture, which administers SNAP, did not return calls for comment. The White House issued a statement that the shutdown is affecting personnel in its press office, delaying responses. The statement blamed Democrats for the government’s closure: “Please remember this could have been avoided if the Democrats voted for the clean Continuing Resolution to keep the government open.”

    To receive SNAP benefits, individuals carry EBT (electronic benefits transfer) cards that are loaded monthly with the amounts to which they are entitled.

    The shutdown began Oct. 1 after Congress could not reach a compromise to allow funding to continue. The region’s 46,000 federal workers found themselves without paychecks. The Trump administration, meanwhile, began laying off federal workers, with a goal of sacking 4,000 of them. A federal judge in California intervened to halt the layoffs. A hearing is scheduled for Tuesday.

    Like other states, New Jersey faces the same funding difficulty. If the federal government remains closed by Nov. 1, about 800,000 people will be without SNAP benefits.

    Elderly people who rely on SNAP will suffer throughout Pennsylvania because, for them, “food is medicine,” said Allen Glicksman, director of research at the Eastern Pennsylvania Geriatrics Society in Newtown Square. “Without it, there’s the chance of a health catastrophe that will cost more money in Medicaid and in emergency room visits.”

    There are 234,638 Philadelphians age 65 and older, 104,972 (45%) of whom live below the federal poverty line ($21,150 for two individuals in a household), Glicksman calculated.

    Brian Gralnick, executive director of the Center for Advocacy for the Rights and Interests of Elders (CARIE) in Center City, agreed. “Consequences will be devastating. Without federal government dollars, ending or even addressing hunger in the region will be as successful as draining the Delaware River using Eagles helmets.”

    For children, the potential shortage of SNAP benefits will be no less calamitous, said sociologist Judith Levine, director of the Public Policy Lab at Temple University.

    “Food is a necessary element for brain development and growth,” she said. “And there’s a clear connection between hunger and the ability to perform in school.

    “This is a complete crisis we are facing.”

    One in four Philadelphia children experiences food insecurity — lack of enough food over the course of a year to live a healthy life — according to a City Council report.

    In the neighborhoods, the word about the halt to SNAP benefits is circulating. Fear and confusion had already been growing after the Trump administration announced changes to the SNAP program that would make it more difficult for some people to access benefits.

    Among the changes: Some SNAP recipients ages 18 to 54 who are able to work and do not support a child under 18 are now required to report at least 20 hours of work, training, or volunteering per week, or 80 hours per month, to keep their benefits.

    Despite the revisions to the program, however, many people these days are more worried about what happens if SNAP halts.

    “People are very anxious about that,” said Pastor Tricia Neal, director of the Feast of Justice food pantry at St. John’s Lutheran Church in the Northeast.

    “The anxiety level is driving more people to come here, and, because we serve 5,500 households, we are well beyond the capacity of what we can support. It’s really horrendous to look at what’s happening here.”

    That much is clear, according to Rosemary Diem, who tries to stave off hunger for her and her husband by combining SNAP benefits with visits to Feast of Justice.

    “Everything at the pantry is running low,” said Diem, 60, who is disabled, as is her husband, Joseph, 63. “I see us getting hurt without SNAP. There won’t be money for milk and eggs.

    “How am I going to get through?”

  • ‘Philly crime’ and the specter of Donald Trump are dominating two Bucks County law enforcement races

    ‘Philly crime’ and the specter of Donald Trump are dominating two Bucks County law enforcement races

    Bucks County Republicans are stoking fears about crime in Philadelphia even as violent crime in the city steadily drops from its high during the pandemic.

    Digital ads Republicans have circulated for the county’s sheriff and district attorney races since August tell voters to “keep Philly crime out of Bucks County,” borrowing a tactic from President Donald Trump, who regularly promotes exaggerated visions of crime-ridden liberal cities.

    Republicans in the purple collar county hope the message will boost the GOP incumbents, District Attorney Jen Schorn and Sheriff Fred Harran, as they face off this fall against their respective Democratic challengers, Joe Khan and Danny Ceisler.

    “We’re letting anarchy take over our country in certain places, and that’s not something we want in Bucks,” said Pat Poprik, the chair of the Bucks County Republican Party.

    Meanwhile, Democrats are eager to tie the GOP incumbents to Trump, portraying them as allies of a president whose nationwide approval rate is dropping.

    Khan, a former county solicitor and former federal prosecutor who unsuccessfully ran for attorney general last year, is seeking to portray himself as less politically motivated than Schorn, a veteran prosecutor who is running for a full term as district attorney after being appointed to the position last year.

    Ceisler, an Army veteran and an attorney who worked for Democratic Gov. Josh Shapiro’s administration, has taken a similar approach in his race against Harran, the outspoken Republican sheriff who has sought a controversial partnership with U.S. Immigration and Customs Enforcement.

    “Democrats are far more enthusiastic about voting precisely because they see what’s happening on the national level. They are really infuriated by what Donald Trump is doing,” State Sen. Steve Santarsiero, who chairs the Bucks County Democratic Party, said. “They’re going to make their displeasure heard by coming to the polls.”

    The local races in the key county, which Trump narrowly won last year, will be a temperature check on how swing voters are responding to Trump’s second term and will gauge their enthusiasm ahead of the 2026 midterms, when Shapiro stands for reelection.

    As the Nov. 4 election approaches, early signs indicate Democrats’ message might be working — polling conducted by a Democratic firm in September found their candidates ahead, and three weeks before Election Day, Democrats had requested more than twice as many mail ballots as Republicans.

    “I think the Republican Party has the same problem it always does. … They turn out when Trump’s on the ticket, but when he’s not, there’s less enthusiasm,” said Jim Worthington, who has run pro-Trump organizations in Bucks County. “Truth be told, the Democrats do a hell of a job just turning out their voters.”

    State Treasurer Stacy Garrity, a Republican running for Pa. governor, poses with Bucks County elected officers following her campaign rally Sat the Newtown Sports & Events Center. From left: Bucks County Sheriff Fred Harran; Bucks County District Attorney Jennifer Schorn; Garrity; and Pamela Van Blunk, Bucks County Controller.

    GOP warns of ‘dangerous’ policies

    Republican messaging in the two races focuses on the idea that Bucks County is safe, but its neighbors are not.

    GOP ads, which have run over the course of four months, suggest that Khan and Ceisler would enact “dangerous” policies in Bucks County such as “releasing criminals without bail” and “giving sanctuary to violent gang members.”

    Democrats reject these ads as scare tactics. The ads make implicit comparisons to Philly’s progressive District Attorney Larry Krasner, who is poised to win a third term in the city but remains a controversial figure in the wider region even as violent crime rates have fallen in the city.

    They frame Harran and Schorn in stark contrast to their opponents as lifelong Bucks County law enforcement officers with histories of holding criminals accountable.

    “I think it resonates beyond the Republican base,” said Guy Ciarrocchi, a Republican analyst, who contended frequent news coverage of Krasner makes the message more viable.

    Khan, a former assistant Philly district attorney who unsuccessfully ran against Krasner in the 2017 primary, has noted that he campaigned “very, very vigorously” against Krasner and challenged his ideas on how to serve the city.

    “I accept the reality that I didn’t win that election,” said Khan, whose platform in 2017 included a proposal to stop prosecuting most low-level drug offenses. “Unlike my opponent, who seems to basically enjoy the sport of scoring political points by sparring with the DA of Philadelphia.”

    Schorn, however, is adamant that politics has never played a role in her prosecutorial decisions. Her mission, she said, is “simply to get justice.”

    A lifelong Bucks County resident who has been a prosecutor in the county since 1999, Schorn handled some of the county’s most high-profile cases and spearheaded the formation of a task force for internet crimes against children.

    Bucks County District Attorney Jennifer Schorn speaks at a Republican rally at the Newtown Sports & Events Center in September.

    “This has been my life’s mission, prosecuting cases here in Bucks County, the county where I was raised,” she said. “I didn’t do it for any notoriety. I didn’t do it for self-promotion. I did it because it’s what I went to law school to do.”

    Harran spent decades as Bensalem’s public safety director before first running for sheriff in 2021. He is seeking reelection amid controversy caused by his decision to partner his agency with ICE, a move that a Bucks County judge upheld last week after a legal challenge.

    “Being Bucks County Sheriff isn’t a position you can learn on the job. For 39 years, I’ve woken up every day focused on keeping our communities safe,” Harran said in an email to The Inquirer in which he criticized Ceisler as lacking experience.

    Although Ceisler has never worked directly in law enforcement, he argues the sheriff’s job is one of leadership in public safety. That’s something he says he’s well versed in as a senior public safety official in Shapiro’s administration who previously served on the Pentagon’s COVID-19 crisis management team.

    Harran, who described his opponent as a “political strategist,” criticized “politicians” for bringing “half-baked ideas like ‘no-cash bail’” into law enforcement. The concept, which is repeatedly derided in the GOP ads, sets up a system by which defendants are either released free of charge or held without the opportunity for bail based on their risk to the community and likelihood of returning to court.

    Khan and Ceisler each voiced support for the concept in prior runs for Philadelphia district attorney and Bucks County district attorney, respectively.

    Both say they still support cashless bail. Neither, however, would have the authority to implement the policy if elected, though Khan as district attorney could establish policies preventing county prosecutors from seeking cash bail in certain cases.

    Joe Khan, a Democratic candidate running for Bucks County DA, walks from his polling place in Doylestown, Pa. in April 2024 when he was running for attorney general.

    “When a defendant is arrested and they come into court, every prosecutor answers this question: Should this person be detained or not?” Khan said. “If the answer is yes, then your position in court is that this person shouldn’t be let out, and it doesn’t matter how much money they have. And if the answer is no, then you need to figure out what conditions you need to make sure they come to court.”

    Democrats claim to ‘keep politics out’

    Even as Democrats view voter anger at Trump as a key piece of their path to victory, they are working to present themselves as apolitical.

    Democratic ads attack Schorn for not investigating a pipeline leak in Upper Makefield and Harran as caring about nothing but himself. Positive ads highlight Ceisler’s military background and Khan’s career as a federal prosecutor.

    Khan and Ceisler, the Democratic Party’s ads argue, will “stop child predators, stand up to corruption, and they’ll keep politics out of public safety.”

    Khan has described Schorn as a political actor running her office “under Trump’s blueprint.” He has focused on her decisions not to prosecute an alleged child abuse case in the Central Bucks School District or investigate the company responsible for a jet fuel leak into Upper Makefield’s drinking water.

    The jet fuel case was turned over to the environmental crimes unit in Pennsylvania Attorney General Dave Sunday’s office. And prosecutorial rules bar Schorn from discussing the alleged abuse.

    “During the last, I don’t know, 13 years when [Khan] has been pursuing politics, I’ve been a public servant,” Schorn said. “For someone accusing me of putting politics first, he seems to be using politics to further his own agenda.”

    But Schorn appears in GOP ads alongside Harran, a figure who has frequently invited political controversy in fights with the Democratic-led Bucks County Board of Commissioners, his effort to partner with federal immigration authorities, and his early endorsement of Trump last year.

    At a September rally in Newtown for Treasurer Stacy Garrity, a Republican running for governor, Harran cracked jokes about former President Joe Biden’s age as he climbed onto the stage and falsely told voters that they will “lose [their] right to vote” if they don’t vote out three Pennsylvania Supreme Court justices standing for retention.

    Harran has long contended that his decision to partner with ICE was not political.

    “I’m a cop who ran to keep being a cop. This isn’t about politics for me — it’s about doing everything I can to keep my community safe,” Harran said.

    Harran’s opponent, Ceisler, paints a different picture as he draws a direct line between the sheriff and the president.

    Danny Ceisler, a Democrat, is running for Bucks County sheriff.

    Trump, Ceisler said, has inserted politics into public safety in his second term, and he contended that Harran has done the same.

    “[Harran] used his bully pulpit to help get the president elected, so to that extent he is linked to the president for better or worse,” Ceisler said in an interview.

    Ceisler has pledged to take politics out of the office and end the department’s partnership with ICE if elected.

    At an event in Warminster last month, voters were quick to ask Ceisler which party he was running with. Ceisler asked them to hear his pitch about how he would run the office first.

    “Don’t hold it against me,” he quipped as he ultimately admitted to one voter he’s a Democrat.

    Staff writer Fallon Roth contributed to this article.

    This suburban content is produced with support from the Leslie Miller and Richard Worley Foundation and The Lenfest Institute for Journalism. Editorial content is created independently of the project donors. Gifts to support The Inquirer’s high-impact journalism can be made at inquirer.com/donate. A list of Lenfest Institute donors can be found at lenfestinstitute.org/supporters.

  • How the 3 Pennsylvania Supreme Court justices on the ballot have ruled in major cases

    How the 3 Pennsylvania Supreme Court justices on the ballot have ruled in major cases

    Three Pennsylvania Supreme Court justices are on the ballot this November, when voters will decide whether to extend each of their tenures for another 10-year term.

    There are currently five justices who were elected as Democrats and two who were elected as Republicans on the bench.

    This year’s retention race has drawn heightened attention, as Republicans have launched a campaign to sink the retention bids of Justices Kevin Dougherty, Christine Donohue, and David Wecht — all elected as Democrats in 2015 — in hopes of flipping the court’s balance.

    Once on the bench, judges are expected to shed their partisan label, which is why Pennsylvania extends judicial terms through retention elections instead of head-to-head races.

    Still, advocacy groups on both sides of the aisle are trying to make the case that control of the judicial seats is critical, if not existential, to their causes.

    The Inquirer reviewed the cases that have come before the Pennsylvania Supreme Court over the last decade, and how Dougherty, Donohue, and Wecht voted.

    Here are some of the most significant cases of their tenure.

    Abortion

    Pennsylvania’s highest court stopped just short of recognizing a constitutional right to abortion access in January 2024.

    The ruling came in a case challenging a state law limiting Medicaid funding for abortions except in cases involving rape, incest, or danger to the life of the mother.

    The 219-page majority opinion included language that strongly endorsed access to abortion as a right derived from the Pennsylvania Constitution, but the judges could not agree on whether they were ready to make the call in this case.

    The majority sent questions about a specific funding limit and broader constitutional protection for abortion access back to a lower court — setting up another round of legal battles that will likely, again, make it before the state Supreme Court.

    How the three justices ruled: Donohue wrote and Wecht joined the majority opinion. The two justices said they believed Pennsylvania’s 1971 Equal Rights Amendment clearly established a right to abortion access. Dougherty wrote a separate opinion saying this case did not call on the court to opine on the right to an abortion. “At least, not yet,” he wrote.

    Voting rights and elections

    The Pennsylvania Supreme Court has ruled on a litany of challenges to Pennsylvania’s election rules, many of them focused on the state’s mail voting law.

    In 2018, the justices threw out the state’s GOP-drawn congressional maps as unconstitutionally gerrymandered.

    In 2020, the court issued a major ruling ahead of the presidential election allowing for ballot drop boxes and allowing local election offices to accept ballots for up to three days after the election as long as those ballots were postmarked by 8 p.m. on Election Day.

    How the three justices ruled: Donohue, Dougherty, and Wecht each joined the majority opinion in the redistricting case. On the 2020 election ruling, Dougherty and Wecht joined the majority opinion. Donohue joined the majority opinion but dissented from the decision to extend the ballot deadline.

    A Delaware County secured drop box for the return of mail ballots in 2022 in Newtown Square.

    Education

    A Delaware County school district had the right to challenge Pennsylvania’s school-funding system, the Supreme Court ruled in 2017.

    The decision affirmed the role of courts in ensuring that state funding leads to equitable education and sent the case back to Commonwealth Court to proceed with litigation.

    In 2023, Commonwealth Court ruled, as part of the same case, that the state’s funding system for school districts led to disparities that prohibit quality education for all students, rendering it unconstitutional.

    How the three justices ruled: Wecht wrote the majority opinion, which Dougherty and Donohue joined.

    Environment

    Pennsylvania, which partly sits on the natural gas-rich Marcellus Shale, found itself in the midst of the fracking boom of the early 2000s.

    The state sold leases to oil and gas companies to drill wells. The practice raised questions, and legal challenges, as to how the state should use the revenues in the context of the Pennsylvania Constitution’s Environmental Rights Amendment.

    The court ruled in 2017 that it is unconstitutional for the state to use revenue from the royalties of oil and gas leases on public land to pay for anything but conservation and maintenance of the environment.

    How the three justices ruled: Donohue wrote the majority opinion, which Dougherty and Wecht joined.

    Justices David Wecht, Christine Donohue and Kevin Dougherty sit onstage during a fireside chat at Central High School in September. The conversation was moderated by Cherri Gregg, co-host of Studio 2 on WHYY, and presented by the Committee of Seventy, Pennsylvanians for Modern Courts, and the League of Women Voters of Pennsylvania.

    Criminal justice

    Pennsylvania has had the nation’s largest population of juvenile lifers: people sentenced as minors to life in prison without the possibility of parole.

    In 2017, the Supreme Court made it harder to sentence a juvenile to life. The majority opinion says there is a “presumption” against life without parole for juveniles who are found guilty of murder, and prosecutors must show that the offender is “unable to be rehabilitated” when seeking the sentence.

    How the three justices ruled: Donohue wrote the majority opinion, which Dougherty and Wecht joined.

    Second Amendment

    In 2024, for the first time, the Pennsylvania Supreme Court issued an opinion that interpreted the wording in the U.S. Constitution that gives Pennsylvanians the right to bear arms.

    In Stroud Township, a zoning ordinance that prohibited the discharge of a firearm within the township’s borders limited the possible locations for shooting ranges. The ordinance barred a resident from having a personal outdoor shooting range on his property, and he sued the township for violating his Second Amendment rights.

    The court ruled that the ordinance was constitutional.

    How the three justices ruled: Dougherty wrote the majority opinion, which Wecht joined. Donohue wrote her own opinion, reaching the same conclusion as the majority but disagreeing with the analysis.

    Larry Krasner

    Did Republican lawmakers make a procedural error in their 2022 effort to impeach Philadelphia District Attorney Larry Krasner? The Supreme Court in 2024 said they did, effectively ending a campaign in Harrisburg to oust the progressive prosecutor.

    Philadelphia District Attorney Larry Krasner talks about Republican-led efforts to investigate his record addressing crime and gun violence at the Pennsylvania Capitol in 2022.

    The decision said that the articles of impeachment approved by the state House in late 2022 were “null and void” because they were sent to the Pennsylvania Senate on the last day of that year’s legislative session, and the upper chamber did not complete its work on the matter before the next session began. The attempt to carry the process from one two-year session to the next was unlawful, the court said.

    The majority also agreed with a lower court that none of the articles of impeachment met the required legal standard of “misbehavior in office.”

    How the three justices ruled: Donohue and Wecht joined the majority opinion. Dougherty did not participate in the deliberations.

    Bill Cosby

    Disgraced actor and comedian Bill Cosby walked out of prison a free man in 2021 after the state Supreme Court reversed his sexual assault conviction.

    The court did not weigh in on the facts of the case or whether Cosby was guilty. Instead, it focused on a former Montgomery County prosecutor’s decade-old promise that Cosby would never be charged with drugging and assaulting Andrea Constand if he gave incriminating testimony in a civil case filed by his accuser. The justices found that the testimony was improperly used years later against Cosby at his criminal trial, calling it a “unconstitutional coercive bait-and-switch.”

    How the three justices ruled: Wecht wrote the majority opinion, which Donohue joined. Dougherty wrote a separate opinion, saying he would allow for Cosby to be retried, but would order his testimony from the civil case to be suppressed.