Congress is set to vote on two plans regarding the Affordable Care Act (ACA) premium tax credits that are scheduled to expire Dec. 31, 2025. / Credit: usarmyband, CC BY 4.0, via Wikimedia Commons
Washington, D.C. Newsroom, Dec 11, 2025 / 06:30 am (CNA).
Congress is set to vote on two plans regarding the Affordable Care Act (ACA) premium tax credits that are scheduled to expire Dec. 31, 2025.
The Senate is expected to vote Dec. 11 on a Democratic proposal to extend existing ACA tax credits for three years, as 24 million Americans use ACA marketplaces for health insurance.
Senate Majority Leader John Thune, R-South Dakota, told reporters Tuesday after a Senate Republican meeting that lawmakers also will vote on a Republican alternative measure.
Sen. Bill Cassidy, R-Louisiana, chair of the Health, Education, Labor, and Pensions Committee, and Sen. Mike Crapo, R-Idaho, who leads the Finance panel, announced the legislation on Monday.
The measure (S. 3386) would set requirements for Health Savings Account (HSA) contributions and direct that the money cannot be used for abortion or "gender transitions." It would require states to verify citizenship and immigration status before coverage.
Catholic bishops weigh in
The U.S. Conference of Catholic Bishops have said they favor extending the taxpayer subsidies that lower health insurance costs under the ACA, but said lawmakers must ensure that the tax credits are not used for abortions or other procedures that violate Catholic teaching on the sanctity of life.
The enhanced premium tax credits "should be extended but must not continue to fund plans that cover the destruction of human life, which is antithetical to authentic health care," the bishops wrote in an Oct. 10 letter to members of Congress.
There needs to be a policy that serves "all vulnerable people – born and preborn" and applies full Hyde Amendment protections to them, ensuring not only that government funding does not directly pay for the procuring of an abortion, but also that plans offered by health insurance companies on ACA exchanges cannot cover elective abortion," they wrote.
The Hyde Amendment, passed by Congress in 1977, prohibits the use of federal funds for abortions except in cases of rape, incest, or when the mother's life is at risk.
Activists respond
A coalition of more than 300 faith leaders including NETWORK Lobby for Catholic Social Justice, Church Of God In Christ Social Justice Ministry, Faith in Action Network, and Franciscan Action Network, delivered a joint letter to Congress Dec. 8 urging legislators to pass a bipartisan bill that protects and expands the ACA premium tax credits.
"Each life is sacred, therefore, there is a moral imperative to provide care for the sick and alleviate suffering particularly for those who lack resources to pay," the letter wrote. There must be action to ensure everyone has "the health care they need to live and thrive, as people are currently making choices about coverage for 2026."
"The letter notes that renewing the tax credits will keep healthcare premiums under the ACA from spiking by an average of 114 percent in 2026," NETWORK reported. "This would cause an estimated 4.8 million people to lose their health coverage because they cannot afford it. Subsequently, some 50,000 people could lose their lives without their health coverage."
Other pro-life organizations have warned against expanding the subsidies.
"As Congress continues to face pressure to extend Obamacare's abortion-funding premium subsidies, Susan B. Anthony Pro-Life America (SBA) is making the facts clear on how Obamacare does not include the Hyde amendment and forces Americans to pay for abortions," Marjorie Dannenfelser, president of SBA Pro-Life America, said in a statement.
"The enactment of Obamacare ruptured the bipartisan legacy of the Hyde amendment and resulted in the largest expansion of abortion funding since the 1970s," she said. "Obama and the Democratic leadership at the time intentionally drafted the program to avoid annual appropriations bills, bypassing the Hyde amendment."
"Instead of stopping funding for health insurance plans that cover elective abortion, Section 1303 of Obamacare expressly permits subsidies for Obamacare plans that cover abortion using elaborate accounting requirements and an abortion surcharge to justify the funding," she said.
SBA and more than 100 other pro-life organizations are demanding that any extensions to Obamacare include a complete application of the Hyde policy. The groups sent a September letter and an October letter to lawmakers calling on Congress to ensure pro-life provisions.
"Preventing taxpayer funding of abortion is a minimum requirement for any new Obamacare spending advanced by a Republican Congress and Administration," Dannenfelser said.
