Dear Representative:
On behalf of the millions of members and supporters of the National Committee to Preserve Social Security and Medicare, I write to strongly urge you to sign the discharge petition to require House consideration of legislation to extend the enhanced premium tax credits (EPTCs) in the Affordable Care Act (ACA) Health Insurance Marketplaces for three years.
Due to early retirement policies, layoffs, age discrimination and other factors, ACA Marketplace coverage is a linchpin for older adults. As a result, midlife and older adults comprise a significant portion of those who currently rely on ACA Marketplace coverage and federal premium tax credits. In 2025, 41 percent, or 10 million people enrolled in ACA Marketplace health insurance are ages 45 to 64. Underscoring the importance of ACA Marketplace coverage for those with chronic conditions, evidence shows that those entering Medicare after access to ACA Marketplace coverage have fewer hospitalizations, lower medication use for chronic diseases, lower out-of-pocket medical costs, and fewer limitations in activities of daily living that necessitate long-term care.
In addition to organizations representing ACA enrollees endorsing the extension of EPTCs, dozens of prominent health care organizations, among them the American Medical Association and the American Hospital Association and the National Association of Insurance Commissioners (the latter represents all 50 state insurance commissioners), strongly support extension of the EPTCs.
The National Committee to Preserve Social Security and Medicare urges you to sign the discharge petition that will advance a bill to extend ACA premium tax credits for three years. This is the only realistic hope to forestall devastating increases of hundreds to thousands of dollars per year in health care coverage costs for millions of Americans, which are now coming into view for families across the country.
Sincerely,
Max Richtman
President and CEO