Although he voted for the first iteration of the bill, which cut funding for Medicaid and Medicare, Fitzpatrick ultimately voted against it a few months later. Mackenzie and Bresnahan, however, did vote for its ultimate passage, which their opponents have been quick to jump on.

“Rob Bresnahan unleashed a health care crisis on Northeastern Pennsylvania by voting for the largest cuts to Medicaid in history, stripping funding from our rural hospitals, and failing to take meaningful action in time to prevent health care costs from skyrocketing for Northeastern Pennsylvanians next month,” Scranton Mayor Paige Cognetti said in a statement.

“Ryan Mackenzie’s eleventh hour attempt to paper over his own record of gutting health care and jacking up costs is like an arsonist calling the fire department after he already lit the match,” said firefighter Bob Brooks, who is running to replace Mackenzie. “Hardworking people all across the Lehigh Valley are struggling with rising prices and a health care crisis that Mackenzie unleashed when he voted for Trump’s so-called ‘Big Beautiful Bill.’”

Neither Fitzpatrick nor Bresnahan responded to WHYY News’ requests for comment, but Mackenzie replied with a statement in which he called the health care crisis “a serious issue with real-world consequences” and said “we must find commonsense, bipartisan solutions to protect access to health insurance for families in the Lehigh Valley and the Poconos.”

Mackenzie’s office pushed back on the characterization that the congressman waited until “the 11th hour,” arguing he has spent several months working with members on both sides of the aisle to find a bipartisan compromise. They also pointed out that Mackenzie participated in a televised town hall in September, during which he discussed the impending health care crisis.

Sans bipartisan compromise, Mackenzie called the three-year extension “the only remaining option.” He further blamed Democrats for failing to sign onto his efforts for compromise that would include “longer-term reforms that reduce costs.”

“The Affordable Care Act remains broken, and our health care system is in urgent need of reforms that improve transparency, expand choice, and reduce costs,” he said. “Supporting this discharge petition is currently the only way to keep discussions about bipartisan reforms alive.”

Harvie disputes that contention and that the “so-called problem solvers” among the Republican Party have their constituents’ best interests at heart.

“The Republican party’s been trying to kill the Affordable Care Act since it was originally passed, and I think this is just another step of what they’re trying to do and they’re trying to make it look like they’re not doing it,” he said. “Democrats have been fighting for people to have access to health care access that really is meaningful to expand health care opportunities for people.”