John,

Tomorrow’s Senate vote determines whether millions get priced out of healthcare coverage. With no renewal so far of the enhanced Affordable Care Act (ACA) premium tax credits, insurers have filed 2026 rates based on congressional inaction. Average premiums will explode from about $888 to roughly $1,904 next year, a 114% surge.[1] Depending on age and family size, some people face much steeper price hikes.

Healthcare is a human right, and we refuse to let Wall Street profits dictate who gets to see a doctor. Without congressional action, 20 million people will pay far more, and roughly 5 million will lose coverage altogether. Families in their 50s and 60s, self-employed workers, parents managing chronic conditions, and people already choosing between rent and prescriptions are the ones who will get slammed hardest.

This crisis exists because lawmakers have pushed tax breaks for the wealthy and corporations while essential support for working families is allowed to run out. Budget plans and tax packages this year have protected high-income investors and corporate profits but have left ACA enrollees exposed to unprecedented premium cost spikes. It is a deliberate imbalance. And tomorrow is the moment to correct it.

Letting these tax credits lapse will destabilize state marketplaces, drive up uncompensated care, and force households into medical debt. These credits are one of the most effective tools to keep healthcare more affordable. They reduce the uninsured rate, keep people in treatment, and prevent catastrophic bills. Stripping them away now would erase years of progress.

Tell the Senate to renew the enhanced ACA premium tax credits immediately and stop these massive premium hikes.

More than 24 million people rely on ACA marketplace coverage, and over 90% receive subsidies. A clean renewal shields them from unaffordable premiums and protects access to essential care. It also reverses the broader political trend we have been warning about: benefits for ordinary families shrink while tax privileges for the ultra-wealthy expand.

The for-profit health sector continues to thrive off the tax code. Since the 2017 Trump-GOP law, seven of the largest healthcare corporations have collectively dodged over $34 billion in federal taxes while premiums rise, care gets denied, and families struggle to stay covered. Working people are being handed unaffordable bills while CEOs and shareholders pocket record gains.

Tomorrow’s vote is the clearest test of congressional priorities. Lawmakers must step up and protect affordable healthcare for millions.

Tell the Senate to extend the enhanced ACA premium tax credits now. Families cannot afford another year of political delay.

Let’s make sure the Senate protects our healthcare.

David Kass
Executive Director
Americans for Tax Fairness Action Fund