Protect the Affordable Care Act

Updates

June 4, 2025: Republicans have repeatedly claimed that slashing health care programs like the Affordable Care Act will improve the nation’s financial wellbeing. However, the nonpartisan Congressional Budget Office has released a new analysis of H.R. 1 that estimates the bill will increase budget deficits by $2.4 trillion to finance trillions in tax cuts for the wealthy.

Affordable Care Act (ACA) plans provide affordable health insurance to millions of Americans who would otherwise go uninsured. However, nearly six million people currently insured by ACA plans will lose coverage over the next decade if ACA plan tax credits are allowed to expire at the end of 2025 and if rule changes proposed by the Trump administration go into effect.

The 2021 American Rescue Plan Act increased tax credits for ACA plan premiums, making health insurance more affordable for millions. However, these credits are set to expire at the end of 2025, and House Republicans have neglected to extend funding for the credits in their budget reconciliation bill. The nonpartisan Congressional Budget Office (CBO) estimates that 4.2 million people will lose coverage by 2034 if the tax credits are not renewed.

The Trump administration has also proposed a rule that, if codified via budget reconciliation, would further reduce access to ACA plans by increasing out-of-pocket costs, shortening open enrollment, and prohibiting DACA recipients from buying ACA plans. The CBO estimates the “Marketplace Integrity and Affordability Rule” would cause 1.8 million more people to lose coverage by 2034.

The Senate’s budget reconciliation bill must preserve health care access. Urge your senator to extend the ACA tax credits and reject the Trump administration’s harmful proposed ACA rule changes.