September 15, 2025
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The Honorable Mike Johnson
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The Honorable Chuck Schumer
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| The Honorable John Thune Senate Majority Leader U.S. Senate S-230, the Capitol Washington, DC 20510 |
The Honorable Hakeem Jeffries House Democratic Leader U.S. House of Representatives H-204, The Capitol Washington, DC 20515 |
Dear Speaker Johnson, Majority Leader Thune, Minority Leader Schumer, and Leader Jeffries:
The undersigned physician organizations representing national medical societies and state medical associations write to urge Congress to enact legislation to extend the enhanced advance premium tax credits (APTCs) established under section 36B(b)(3)(A)(iii) of the Internal Revenue Code of 1986.
These enhanced credits have made health coverage more affordable for the more than 24 million Americans who purchased coverage through the Health Insurance Marketplaces in 2025, including many who are older, live in rural areas, or operate small businesses. For these individuals, the credits are a key means of securing comprehensive coverage, as the credits are only available to individuals who do not have access to such coverage outside of the Health Insurance Marketplaces.
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