In a notable break from party lines, four moderate Republicans from key swing districts have joined Democrats in supporting a procedural move to force a vote on extending health care subsidies, which are set to expire at the end of this year. This decision highlights the growing concern among some GOP members about the potential impact of rising health care costs on their constituents.

Representatives from critical battleground areas in Pennsylvania and New York took a stand against their party’s leadership on Wednesday. By backing the Democrat-led initiative, they aim to prompt a vote on extending subsidies linked to the Affordable Care Act. This action follows a Republican-led health care proposal that does not address the looming increase in monthly insurance premiums.

House Speaker Mike Johnson acknowledged the unusual political dynamics at play, noting that the party’s slim majority gives a small faction of Republican members significant leverage in legislative proceedings.

Among those challenging the party’s stance on health care is Rep. Brian Fitzpatrick from Pennsylvania. He, along with his colleagues, is stepping into the spotlight as they prioritize their constituents’ needs over party allegiance.

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 part of a coalition 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 told The Associated Press 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 an official White House event 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 won a second term, 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 peppered him with questions and devolved into a chaotic chorus of boos.

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Meg Kinnard can be reached at http://x.com/MegKinnardAP