FILE - Rep. Brian Fitzpatrick, R-Pa., listens to debate as the House Rules Committee meets to prepare Republican legislation to address health care affordability, at the Capitol in Washington, Dec. 16, 2025. (AP Photo/J. Scott Applewhite, File)
FILE - State Rep. Ryan Mackenzie speaks before Republican presidential nominee former President Donald Trump speaks at a campaign rally in Allentown, Pa., Oct. 29, 2024. (AP Photo/Matt Rourke, File)
FILE - Rep. Brian Fitzpatrick, R-Pa., listens to debate as the House Rules Committee meets to prepare Republican legislation to address health care affordability, at the Capitol in Washington, Dec. 16, 2025. (AP Photo/J. Scott Applewhite, File)
FILER - U.S. Rep. Mike Lawler, R-N.Y., speaks at a town hall, May 4, 2025, in Somers, N.Y. (AP Photo/Jessica Hill, File)
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FILE - State Rep. Ryan Mackenzie speaks before Republican presidential nominee former President Donald Trump speaks at a campaign rally in Allentown, Pa., Oct. 29, 2024. (AP Photo/Matt Rourke, File)
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The Capitol is seen from the Washington Monument, Tuesday, Dec. 16, 2025, in Washington. (AP Photo/Julia Demaree Nikhinson)
Four moderate House Republicans — from swing districts Democrats are already eyeing for next year's midterms — have broken ranks with Speaker Mike Johnson, signing on to Democrats' petition to force a vote on extending health care subsidies that expire at the end of this year.
From battleground districts in Pennsylvania and New York, the members on Wednesday sided against their party on the Democratic-led measure to force a vote on subsidy extensions related to Affordable Care Act — a move that came after House Republican leaders pushed ahead with a that does not address impending .
Acknowledging “these are not normal times,” Johnson said his party's razor-thin majority allows a small number of GOP members to have an outsize influence in some of the chamber's mechanics.
Meet the four Republicans bucking their party's leadership over health care:
Rep. Brian Fitzpatrick, Pennsylvania
Fitzpatrick, who has been part of several bipartisan pushes this year, represents a perennial swing district in the presidential battleground state. Amassing bipartisan signatures for his own discharge petition related to ACA subsidy extension, earlier this year he was that spanned the political spectrum to rally support for a bill that would prohibit members of Congress and their families from owning and trading individual stocks.
“It’s not every day you see this cast of characters up here,” Fitzpatrick said. “You’re all smirking out there. That’s a good thing. It speaks to the power of this cause.”
Rep. Ryan Mackenzie, Pennsylvania
Mackenzie drew an opponent barely 48 hours after voting for the House budget bill earlier this year.
Part of a bipartisan group pressing for an eleventh-hour compromise over the ACA subsidies, Mackenzie earlier this month that lawmakers needed to understand that, “even if you have a broken system, that doesn’t mean that you shouldn’t provide or offer relief to individuals who are dealing with those high costs right now.”
Rep. Robert Bresnahan, Pennsylvania
Bresnahan and Mackenzie, both freshmen, won in November by some of the smallest margins in all of Congress. Already a top target for Democrats in next year's midterms, Bresnahan and his district have already had high-level political attention.
Last week, President Donald Trump was in his district for that seemed more like one of his signature campaign rallies that officials said he would hold regularly ahead of next year’s midterms.
Rep. Mike Lawler, New York
Lawler’s district has been considered a crucial swing seat in recent elections, and Democrats are expected to again dedicate heavy resources to flip it next year. A moderate who last year , he openly expressed interest in running for governor but backed off those plans, saying he wanted to defend his battleground district.
Earlier this year, while many House Republicans shunned holding town halls in their districts as the Trump administration's aggressive actions roiled constituents, Lawler instead sought to put himself in front of voters, who and devolved into a chaotic chorus of boos.
