Election 2026

Independent, source-first accountability

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Issue record

Health care

In short

Tiffany's campaign opposes extending the enhanced health-insurance subsidies and favors more choice and competition. Crowley's would expand mobile outreach, addiction treatment and emergency medical services. Tiffany voted for an association-health-plan bill and against extending the larger premium tax credits; neither is law. He also backed the 2025 law setting aside $50 billion over five years for rural health. Wisconsin's first-year award is about $203.7 million; later awards were not established.

Campaign positions

What each campaign says.

Tom Tiffany

Against extending the pandemic-era health insurance subsidies: “bailing out insurers again is not the solution.” Wants more choice and competition instead.

David Crowley

Would expand mobile outreach, addiction treatment and emergency medical services across the state.

Evidence timeline

What the record shows.

  1. official action

    Tom Tiffany: Matches stated direction

    He voted for a bill expanding association health plans and against one extending the larger premium tax credits, and neither is law.

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    Full detail

    He says extending the pandemic-era health insurance subsidies would bail out insurers, and that more choice and competition would lower premiums instead. He voted for H.R. 6703, which expands association health plans, adds oversight of drug-benefit managers and funds cost-sharing payments. It passed 216-211. Three weeks later he voted against H.R. 1834, which extends the larger premium tax credits. It passed 230-196. Neither is law. Limit: His votes match what he said. Whether either bill would lower premiums is a forecast this record can't test.

  2. official action

    Tom Tiffany: Matches stated record claim

    He voted for the final 2025 law that sets aside $50 billion over five years for rural health; Wisconsin's first-year award is about $203.7 million.

    Read the full check

    Full detail

    In the October 21 WISN 12 debate, Tiffany said Congress authorized a $50 billion rural health program, and that Wisconsin will get $200 million from it. The Rural Health Transformation Program is in the final version of H.R. 1. He voted for that final bill on July 3, 2025, and it became law on July 4, 2025. It sets aside $10 billion a year for 2026 through 2030, $50 billion in all, for the program. Wisconsin's Department of Health Services says it received a first-year award of $203,670,005 from CMS. Limit: $200 million is Wisconsin's first-year award; the later years have not been announced. His separate claim of $1 billion more for Medicaid was not checked.

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Sources11 source records

How we use sources

  1. Tiffany statement on vote to lower health care premiumshttps://tiffany.house.gov/media/press-releases/tiffany-statement-vote-lower-health-care-premiums

    Office of Rep. Tom Tiffany · Published Dec 17, 2025 · Reviewed Sep 23, 2026

    His statement after voting for H.R. 6703.

    official office record

    For: Tom Tiffany: campaign position; Tom Tiffany: Matches stated direction

  2. David's Planhttps://www.crowleyforwi.com/Plan

    Crowley for Wisconsin · Reviewed Sep 23, 2026

    Captured 2026-09-23. His plan as governor.

    candidate statement

    For: David Crowley: campaign position

  3. H.R. 6703, Lower Health Care Premiums for All Americans Act, as passed by the Househttps://www.govinfo.gov/content/pkg/BILLS-119hr6703eh/html/BILLS-119hr6703eh.htm

    U.S. Government Publishing Office · Reviewed Sep 23, 2026

    Covers association health plans, oversight of pharmacy benefit managers and funding for cost-sharing reduction payments. Received in the Senate 2025-12-18; not law.

    official legislative record

    For: Tom Tiffany: Matches stated direction

  4. House roll call 349, 2025 (document)

    Office of the Clerk, U.S. House of Representatives · Reviewed Sep 23, 2026

    Passage of H.R. 6703, 2025-12-17. Passed 216-211. Tiffany: Yea.

    official legislative record

    For: Tom Tiffany: Matches stated direction

  5. H.R. 1834 as passed by the Househttps://www.govinfo.gov/content/pkg/BILLS-119hr1834eh/html/BILLS-119hr1834eh.htm

    U.S. Government Publishing Office · Reviewed Sep 23, 2026

    As passed, it extends the enhanced premium tax credit for marketplace health insurance. On the Senate calendar since 2026-02-10; not law.

    official legislative record

    For: Tom Tiffany: Matches stated direction

  6. House roll call 11, 2026 (document)

    Office of the Clerk, U.S. House of Representatives · Reviewed Sep 23, 2026

    Passage of H.R. 1834, 2026-01-08. Passed 230-196. Tiffany: Nay.

    official legislative record

    For: Tom Tiffany: Matches stated direction

  7. WISN 12 debate, October 21: Tiffany on the rural health programhttps://www.youtube.com/watch?v=f3vbWiJMwu0&t=3267s

    WISN 12 · Published Oct 21, 2026 · Reviewed Oct 22, 2026

    54:27. Paraphrased from YouTube's captions of the station's video; no second transcript was found to confirm the exact words.

    candidate statement

    For: Tom Tiffany: Matches stated record claim

  8. H.R. 1, One Big Beautiful Bill Act (119th Congress)https://www.congress.gov/bill/119th-congress/house-bill/1

    Congress.gov · Reviewed Sep 23, 2026

    Read through the Congress.gov API on 2026-09-23. Sponsor: Rep. Jodey Arrington. Became Public Law 119-21.

    official legislative record

    For: Tom Tiffany: Matches stated record claim

  9. House roll call 190, 2025 (document)

    Office of the Clerk, U.S. House of Representatives · Reviewed Sep 23, 2026

    The House agrees to the Senate's version of H.R. 1, 2025-07-03. Passed 218-214. Tiffany: Aye.

    official legislative record

    For: Tom Tiffany: Matches stated record claim

  10. Public Law 119-21https://www.govinfo.gov/content/pkg/PLAW-119publ21/html/PLAW-119publ21.htm

    U.S. Government Publishing Office · Reviewed Oct 22, 2026

    Signed July 4, 2025. Sections 70201 and 70202 create income tax deductions for tips (up to $25,000) and for the extra pay for overtime above the regular rate (up to $12,500, or $25,000 for couples). Both shrink above $150,000 of income ($300,000 for couples) and end after 2028. Section 71401 sets aside $10,000,000,000 for each of fiscal years 2026 through 2030 for the Rural Health Transformation Program.

    official legislative record

    For: Tom Tiffany: Matches stated record claim

  11. Rural Health Transformation Programhttps://www.dhs.wisconsin.gov/rhtp/index.htm

    Wisconsin Department of Health Services · Reviewed Oct 22, 2026

    Says DHS received a first-year award from CMS of $203,670,005.21 and that CMS has not announced the later four years.

    official office record

    For: Tom Tiffany: Matches stated record claim