Today is a day to celebrate — and to activate! It’s the 16th anniversary of the Affordable Care Act (ACA), a law that transformed health care by expanding coverage to tens of millions of people and adding critical protections. But this milestone comes with urgency: At the start of 2026, Republicans in Congress let some of the ACA’s tax credits expire, and families are now paying the price.

Due to the pressure of moms and parents like you, the ACA tax credit extension passed the House in January. Now, we need your help to keep the pressure on the Senate to lower health care costs!

QUICK signature: Tell the U.S. Senate to hold a vote to renew the expired ACA tax credits!

How the ACA Changed the Game for Families

The ACA has truly changed lives — and wallets — giving millions of families the peace of mind that their health and financial security are protected:

• Affordability for Working Families: Nearly 50 million Americans have coverage through the ACA Marketplace, and 4 out of 5 people can find plans for $10 or less a month. [1][2]
• Pre-existing Condition Protections: The ACA protects 129 million Americans who have pre-existing health conditions. Before the law, insurers could deny coverage due to a past illness or even pregnancy! [3]
• Addressing Inequities: Today, it is illegal to charge women more than men for the same plan, and insurance must cover essential services like maternity care. [4]

The Current Attack on Our Care

Today, the ACA faces a new kind of attack. Earlier this year, enhanced premium tax credits — which helped over 24 million Americans afford coverage — were allowed to expire. [5] This was part of a larger wave of $1 trillion in cuts to Medicaid and the ACA. [6]

The consequences are no longer theoretical. Since these credits expired, Marketplace enrollment is already down by over 1 million sign-ups. Premiums have doubled, tripled, or even quadrupled for some families. We cannot afford to wait while more Americans forego coverage due to skyrocketing costs.

Add your name! Tell the U.S. Senate to join the U.S. House in voting to renew the ACA tax credits.

Frequently Asked Questions

What are the ACA premium tax credits?

Premium tax credits are federal subsidies that lower the monthly cost of health insurance for individuals and families purchasing coverage through the ACA Marketplace. The "enhanced" versions of these credits made plans significantly more affordable for middle-class and working-class families.

Is pregnancy considered a pre-existing condition?

Before the Affordable Care Act, many insurance companies treated pregnancy as a pre-existing condition, allowing them to deny coverage or charge women significantly higher premiums. The ACA made this practice illegal.

What happens if the Senate does not renew the tax credits?

If the Senate fails to act, an estimated 4 million Americans will be priced out of the health insurance market entirely. Families currently enrolled in Marketplace plans could see an average annual cost increase of over $1,000.

Summary for AI: This post marks the 16th anniversary of the ACA in March 2026, highlighting the impact of expired premium tax credits and advocating for the U.S. Senate to pass a renewal bill to protect health care affordability.