John,

Last year, voters went to the polls with a very clear message: they want lower costs and better economic security.

Huge margins want the Affordable Care Act (ACA) enhanced premium tax credits extended, which have been keeping health insurance more affordable for tens of millions of people. A poll conducted a few weeks ago by a firm that has worked for President Trump found that 70% want the credits extended (only 20% do not).¹

Since last year’s election, Republicans have passed a budget that hands tax breaks to billionaires, but they refuse to renew tax credits that have been helping people afford health care. They’ve gutted basic needs programs like Medicaid and SNAP while families struggle to make ends meet. And now millions of people are at risk of going uninsured due to skyrocketing out-of-pocket costs.

The enhanced premium tax credits, which expire December 31st, have greatly expanded the number of people who can afford health insurance through the ACA marketplace, including offering $0 premiums on plans with decent health coverage for people living at or near the federal poverty line. Without those tax credits, that same plan will cost between $28 and $82 per month, plus co-pays.² $82 per month is almost $1,000 per year for a single adult earning as little as $23,475 annually. That’s tough to afford when rent, food, and heat swallow up most of your income. Without the enhanced tax credits, a family of three earning about $40,000 would go from paying no premium to an annual cost of $1,675. A 60-year old couple with an income of $85,000 would see their annual premiums skyrocket from $7,225 to $31,846.³

The Senate is expected to vote next week on extending enhanced ACA premium tax credits. 60 votes are needed. The House needs 218. They need to hear from us right now.

Send a direct message to your senators and representative telling them to extend the Affordable Care Act’s enhanced premium tax credits before it’s too late.

Republican leaders are pricing some people out of insurance and denying it altogether to others. Overall, an estimated 15 million are expected to lose health coverage in the coming years because of Republican policy priorities, including gutting Medicaid and the Affordable Care Act.⁴ The current changes to ACA eligibility by the Trump administration have disqualified an estimated 300,000 lawfully present immigrants with low incomes―including green card holders, DACA recipients, asylum-seekers, and immigrants with Temporary Protected Status―from accessing tax credits.^5,6

We need Congress to renew the current tax credits rather than come up with new guidelines that would reduce protections or health care coverage, as some proposals would do.

Join us in sending messages to Congress urging them to extend the enhanced ACA premium tax credits and make sure that everyday people, including legally present immigrants, don’t lose health care.

Deborah Weinstein
Executive Director, CHN Action

PS: I hope you’ll join us today, December 4 at 1pm ET, for our “Final Push to Extend the Health Care Tax Credits” webinar to discuss the strategy to get Congress to act, and what it means for tens of millions of Americans if they don’t. Click here to RSVP.

¹ NEW POLL: 86% of 2024 Voters Want New President and Congress to Extend Expiring Health Care Tax Credits
² Majority Bipartisan Support for Enhanced Premium Tax Credits - McLaughlin and Associates Poll, Nov. 10-11, 2025
³ People With Low Incomes May Lose $0 Premium Plans — a Lifeline — Unless Congress Acts
⁴ The Struggle to Pay for Health Care and Food is Getting Worse
⁵ By the Numbers: Harmful Republican Megabill Will Take Health Coverage Away From Millions of People and Raise Families’ Costs
⁶ 300,000 Lawfully Present Immigrants Will Be Newly Ineligible for Health Care Help in This Open Enrollment Period