Congressional Digest

Congressional Digest February 2026 No. 2 Vol. 105
Health Care Affordability

Health Care Affordability

PROS & CONS of Extending the ACA Premium Tax Credits

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Excerpt

The Patient Protection and Affordable Care Act (ACA), informally known as Obamacare, was signed into law in 2010. Passed strictly along party lines, the act overhauled the U.S. health care system to expand insurance coverage and improve affordability. Under the ACA, federally subsidized premium tax credits (PTCs) help eligible households lower their premium payments for qualified health plans offered through federal- and state-run virtual marketplaces, or exchanges.

During the COVID-19 pandemic, Congress passed the American Rescue Plan Act of 2021 (APRA), which included a temporary provision that expanded PTC …

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