Affordable Care Act

Whether the Affordable Care Act, its marketplace plans and the tax credits that lower their premiums, and its rules for insurers, including coverage of pre-existing conditions, are kept, changed or repealed.

Restore and extend the ACA premium tax credits

7 members
Roy Cooper
Senate · North Carolina · Democrat
“Roy Cooper would lower health care costs by making sure that doctors make decisions about your health care, not insurance companies. Roy will work to reverse the Affordable Care Act tax credit expiration and cuts to Medicaid that have driven up health care costs for everyone; and put patient care first at hospitals. He’d also cap annual out-of-pocket costs for prescription drugs, and require Medicare to broaden negotiations with drug makers to make medicines more affordable.”
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“Reverse cuts that leave people without health insurance or unable to afford the coverage they have. North Carolina saw the largest drop of any state in Affordable Care Act enrollment. Reinstate the ACA tax credits and reverse Medicaid cuts. This will help lower costs for everyone’s premiums, including people who get their health insurance through an employer.”
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“Roy Cooper believes that doctors should decide your health care, not insurance companies and he’d reverse the Affordable Care Act tax credit expiration and cuts to Medicaid that leave people without the coverage they need and drive up prices for everyone. He’d also require Medicare to broaden negotiations with drug makers to make prescriptions more affordable and strengthen oversight of hospital mergers that put profits over patients. He’d crack down on pharmacy benefit managers that pocket savings instead of passing them on to patients, curb surprise billing and cap annual out-of-pocket costs for prescription drugs. He’d prevent medical debt by requiring hospitals to auto-enroll patients in charity care and increase enforcement of upfront pricing to make health care costs more transparent.”
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“Roy believes that the ACA (or Obamacare) tax credit expiration and cuts to Medicaid should be reversed to get people the coverage they need and wants to lower premiums for everyone, including those who get their health insurance through their employer.”
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“Washington DC’s failure to extend these subsidies to make health care more affordable is unacceptable.”
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Abdul El-Sayed
Senate · Michigan · Democrat
“In the meantime, I categorically oppose the privatization of Medicare or the attempt to cut Medicaid or destroy the ACA market by cutting subsidies.”
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“I will push to immediately repeal Medicaid and ACA subsidy cuts from the ‘One Big Beautiful Bill” Act.”
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Peggy Flanagan
Senate · Minnesota · Democrat
“America’s healthcare system is broken. Donald Trump and Republicans have made it worse by cutting Medicaid for millions of Americans, eliminating tax credits that make healthcare cheaper for 90,000 Minnesotans, and defunding critical research into diseases like Alzheimer’s and Parkinson’s. Peggy will fight to restore this vital funding and build a better system.”
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Adam Hamilton
Senate · Kansas · Democrat
“Reverse the cuts to Medicaid and restore the ACA subsidies that hold premiums down. Two changes are raising health care costs for Kansas families at the same time. Kansas families are being squeezed from both sides. Deep federal Medicaid cuts are projected to drain up to $3.77 billion from KanCare and cost about 13,000 Kansans their coverage over the next decade. That would fall hardest on rural hospitals, and Kansas already has more hospitals at immediate risk of closing than any other state. At the same time, the end of enhanced ACA premium tax credits has made a typical subsidized Kansan’s monthly premium jump by more than half for 2026 — the steepest increase since the marketplace began. Because Kansas never expanded Medicaid, about 28,000 working Kansans are already stuck in the coverage gap: too well-off for KanCare, too poor for marketplace help.”
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Chris Pappas
Senate · New Hampshire · Democrat
“He is running for Senate to stand up to insurance companies and their army of lawyers and lobbyists that indiscriminately deny coverage while reaping record profits. He will work to hold insurance companies and big pharmaceutical companies accountable for soaring prices and diminishing care, and he will fight to restore the ACA premium credits Republicans ended.”
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“He’s pushing to strengthen the Affordable Care Act by making tax credits permanent, and he’s standing up to Republican efforts to cut funding for Medicare and Medicaid.”
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“On the 16th anniversary of the Affordable Care Act (ACA) being signed into law, Congressman Chris Pappas is reaffirming his commitment to reinstating the ACA enhanced premium tax credits, protecting the ACA, and holding big pharmaceutical companies accountable for soaring prices and diminishing care.”
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“Chris Pappas is pushing to reverse the Trump Administration’s health care cuts, strengthen the Affordable Care Act by making tax credits permanent, expand access to telehealth, cut red tape for small businesses and families seeking coverage, and ensure veterans receive the care they’ve earned.”
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“In Congress, Chris is fighting to restore ACA enhanced premium tax credits, and he forced a vote on legislation to prevent health care costs from skyrocketing.”
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“He is working across the aisle to restore ACA enhanced premium tax credits and bring down health care costs that have skyrocketed by double or more.”
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James Talarico
Senate · Texas · Democrat
“Protect health coverage and lower premiums: Protect and improve the Affordable Care Act (ACA) and reverse the Trump Administration’s dangerous cuts to the ACA enhanced tax credits, Medicare, and Medicaid that will kick 15 million Americans off their insurance and raise premiums for millions more.”
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“Pass a cost-of-living tax cut for the middle class: Expand the Child Tax Credit and Earned Income Tax Credit, restore the ACA Tax Credits, and provide a tariff rebate to Americans who have been paying too much for everything, and pay for it by closing tax loopholes and making the wealthiest Americans and giant corporations pay their fair share.”
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“Lower health care and prescription drug costs: Create a federal public health insurance option that competes with private insurance, institute caps on out-of-pocket costs for lifesaving drugs, reinstate the Affordable Care Act (ACA)’s enhanced premium tax credits, increase price transparency and Medicare’s negotiating power to ensure fair pricing, incentivize the development and approvals of generics, regulate pharmacy benefit managers to ensure they’re not up-charging patients, and break up healthcare monopolies that are raising prices on all of us.”
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“Guarantee those who serve our country and their families have the food and healthcare they need by reversing cuts to SNAP and Medicaid, restoring ACA tax credits, allowing military children to remain on TRICARE until age 26, and supporting access to alternative pain medicines and non-drug therapies to combat opioid dependency.”
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Josh Turek
Senate · Iowa · Democrat
“We need to extend Affordable Care Act subsidies for at least a year. Iowans – including those in the rural communities – deserve access to affordable health care.”
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Protect, strengthen and expand the Affordable Care Act

6 members
Roy Cooper
Senate · North Carolina · Democrat
“I’m ready to go to Washington to work with anyone I can to take on health insurance companies that are crushing working families with hidden fees and denied claims, make health care cost less and reverse the devastating cuts to Medicaid and the Affordable Care Act.”
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Abdul El-Sayed
Senate · Michigan · Democrat
“In the meantime, I categorically oppose the privatization of Medicare or the attempt to cut Medicaid or destroy the ACA market by cutting subsidies.”
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Troy Jackson
Senate · Maine · Democrat
“This new legislative action by Governor Mills, Senate President Troy Jackson, and House Speaker Sara Gideon comes after the three teamed up last year to spearhead into law LD 1, which codified into State law critical Affordable Care Act protections in the state’s regulated markets, such as guaranteed coverage for pre-existing conditions, a ban on lifetime and annual caps on coverage and allowing young adults up to age 26 to remain on their parents’ insurance, as well as coverage for essential health services such as ambulance services, prescription drugs, and pediatric care.”
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“Last week, I filed legislation to make sure Maine law covers patient protections included in the ACA. If the ACA goes away, Mainers can rest assured that the patient protections will remain. This means no insurance company can discriminate against Mainers with preexisting conditions. This means essential health benefits, such as ambulance services, prescription drugs and pediatric care, will still be covered. This means young adults can remain on their parents’ health insurance plans until age 26.”
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Chris Pappas
Senate · New Hampshire · Democrat
“He’s pushing to strengthen the Affordable Care Act by making tax credits permanent, and he’s standing up to Republican efforts to cut funding for Medicare and Medicaid.”
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“On the 16th anniversary of the Affordable Care Act (ACA) being signed into law, Congressman Chris Pappas is reaffirming his commitment to reinstating the ACA enhanced premium tax credits, protecting the ACA, and holding big pharmaceutical companies accountable for soaring prices and diminishing care.”
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“Stop the war. Lower gas prices. Build more homes. Expand access to health care. Restore the cuts to Medicaid and the Affordable Care Act that went through last year.”
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“Chris Pappas is pushing to reverse the Trump Administration’s health care cuts, strengthen the Affordable Care Act by making tax credits permanent, expand access to telehealth, cut red tape for small businesses and families seeking coverage, and ensure veterans receive the care they’ve earned.”
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“In Congress Chris is committed to protecting and strengthening the Affordable Care Act, expanding rural health care access, and strengthening our nursing and health care workforce.”
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“He helped cap insulin costs and allow Medicare to negotiate lower drug prices, and is working to protect coverage by strengthening the Affordable Care Act and defending Medicare and Medicaid from reckless Republican cuts.”
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James Talarico
Senate · Texas · Democrat
“Protect health coverage and lower premiums: Protect and improve the Affordable Care Act (ACA) and reverse the Trump Administration’s dangerous cuts to the ACA enhanced tax credits, Medicare, and Medicaid that will kick 15 million Americans off their insurance and raise premiums for millions more.”
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Josh Turek
Senate · Iowa · Democrat
“Protect and expand the Affordable Care Act for the 118,000 Iowans that rely on ACA subsidies.”
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“Protect Medicaid, Medicare, and the Affordable Care Act, all of which are vital to rural health care.”
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Protect coverage for people with pre-existing conditions

1 member
Troy Jackson
Senate · Maine · Democrat
“This new legislative action by Governor Mills, Senate President Troy Jackson, and House Speaker Sara Gideon comes after the three teamed up last year to spearhead into law LD 1, which codified into State law critical Affordable Care Act protections in the state’s regulated markets, such as guaranteed coverage for pre-existing conditions, a ban on lifetime and annual caps on coverage and allowing young adults up to age 26 to remain on their parents’ insurance, as well as coverage for essential health services such as ambulance services, prescription drugs, and pediatric care.”
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“Last week, I filed legislation to make sure Maine law covers patient protections included in the ACA. If the ACA goes away, Mainers can rest assured that the patient protections will remain. This means no insurance company can discriminate against Mainers with preexisting conditions. This means essential health benefits, such as ambulance services, prescription drugs and pediatric care, will still be covered. This means young adults can remain on their parents’ health insurance plans until age 26.”
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Add more plan choices, such as a public option, to the ACA marketplace

1 member
James Talarico
Senate · Texas · Democrat
“Lower health care and prescription drug costs: Create a federal public health insurance option that competes with private insurance, institute caps on out-of-pocket costs for lifesaving drugs, reinstate the Affordable Care Act (ACA)’s enhanced premium tax credits, increase price transparency and Medicare’s negotiating power to ensure fair pricing, incentivize the development and approvals of generics, regulate pharmacy benefit managers to ensure they’re not up-charging patients, and break up healthcare monopolies that are raising prices on all of us.”
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