diabetes at age 13. The legislation would allow prescription drug manufacturers to sell insulin directly to patients. Fortenberry claimed it would reduce the price of insulin by two-thirds. Fortenberry introduced ACT for ALS to help people suffering from amyotrophic lateral sclerosis (ALS) gain access to new treatments. The act would have the Department of Health and Human Services guide a new public-private partnership for streamlined research and drug approval for ALS. As of late December 2020, over 270 members of Congress co-signed the legislation. Foreign and military affairs In 2010, Foreign Policy magazine listed Fortenberry as a "new Republican powerbroker" on nuclear security issues. In an October 2010 endorsement, the Lincoln Journal Star called Fortenberry "uncommonly well-informed on international issues". Fortenberry, and then-Appropriations Committee chair Nita Lowey co-sponsored the Middle East Partnership for Peace Act (MEPPA), which aims to ease tensions between Israelis and Palestinians by giving grants and loans to startup businesses. In his role on the Appropriations Committee, Fortenberry advocated for funding to enhance Offutt Air Force Base facilities, STRATCOM facilities, and to provide a new runway. Abortion Fortenberry received a 100% anti-abortion score from the National Right to Life Committee in a ranking of members of the 111th Congress (2009–2011). He spoke annually at the March for Life. COVID-19 pandemic During the COVID-19 pandemic, Fortenberry supported the Paycheck Protection Program (PPP), providing small businesses with financial support throughout the pandemic. The program is estimated to have saved over 300,000 jobs in Nebraska. The state led the nation in PPP loans approved per capita. Texas v. Pennsylvania In December 2020, Fortenberry was one of 126 Republican members of the House of Representatives to sign an amicus brief in support of Texas v. Pennsylvania, a lawsuit filed at the United States Supreme Court contesting the results of the 2020 presidential election, in which Joe Biden defeated incumbent Donald Trump. The Supreme Court declined to hear the case on the basis that Texas lacked standing under Article III of the Constitution to challenge the results of an election held by another state. Following the Supreme Court's decision not to take up Texas v. Pennsylvania, and the Electoral College's certification of the election results, Fortenberry recognized Joe Biden as President-elect and congratulated him on his victory. He voted against invalidating the election results on January 6, 2021, saying, "As much as I supported President Trump to win, I believe the proposed