Recent Action in Congress on Health Care
Legislative Efforts to Prevent Rising Premiums
As the enhanced premium tax credit (PTC) under the American Rescue Plan Act of 2021 (ARPA) approached its expiration date of Dec. 31, 2025, members of Congress introduced several pieces of legislation and engaged in extensive debate throughout December. At issue is the rising cost of health care overall, evidence of fraud in the subsidy programs under the Affordable Care Act (ACA), access to federal health care programs for authorized and unauthorized noncitizens and coverage for abortions and gender-transition procedures. On Dec. 8, 2025, competing legislation was introduced in the Senate by Democrats and Republicans. U.S. Senator Chuck Schumer (D-N.Y.)…