How Will Your Community Be Affected If Enhanced Premium Tax Credits Expire?

Everyone has a right to lifesaving health care. 

Without affordable health insurance, many Americans go without regular checkups, cancer screenings, treatments, and follow-up care.

Congress has historically expanded access to care for those who fall near the poverty level through the Affordable Care Act (ACA) enhanced premium tax credits. These credits, set to expire at the end of 2025, have helped more than 20 million people purchase health insurance.

Without these credits, many people will no longer be able to afford health insurance. Most of them will become uninsured. Some of them will be affected by breast cancer.

What will it mean for your community—and your community’s health—if Congress doesn’t extend the enhanced premium tax credits?

Using data from the Urban Institute’s Health Insurance Policy Simulation Model, explore how subsidized ACA Marketplace coverage will change—and how many people will become uninsured—in your congressional district in 2026.

Find Your District and Representative

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Source: The Urban Institute. Health Insurance Policy Simulation Model (HIPSM), 2025.

Thank you to the Urban Institute for providing this analysis.

View and Download Data

Take action to protect affordable health care.

Tell your rep to extend ACA enhanced premium tax credits