Alabamians Need Affordable Health Care!
Health care affordability is at risk for hundreds of thousands of Alabamians.
Enhanced Premium Tax Credits (ePTCs) lower monthly premiums for nearly 500,000 Alabamians who get their coverage through the ACA Marketplace. They mean Alabamians can go to the doctor without skipping rent, and families can afford prescriptions without falling into medical debt.
Earlier this year, Congress had the opportunity to make these savings permanent. Instead, they passed the largest health care cuts in U.S. history—putting families at risk of higher premiums, lost coverage, and deeper debt.
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🏥 What’s at stake for Alabama?
477,838 Alabamians are enrolled in Marketplace coverage (as of May 2025). About 98% of these enrollees receive ePTCs to help afford their monthly premiums.
The average Marketplace premium in Alabama will increase by 93%. That’s nearly double the cost for working families already struggling to make ends meet.
130,000 Alabamians could lose health insurance if the enhanced subsidies expire.
This loss of health coverage would cost Alabama $1.14 billion in economic activity and 10,000 jobs in 2026.
👨👩👧 Who would be hit the hardest?
Small business owners and self-employed workers: Nationwide, nearly half of enrollees are small business owners or self-employed.
Older adults and families with lower incomes would bear the brunt of skyrocketing premiums. For example, a 60-year-old Alabama couple making $85,000 would see their annual premiums for a benchmark plan increase from about $7,000 to more than $32,000.
Households earning as little as $15,650 per year for an individual or $32,000 per year for a family of four could be priced out of coverage altogether.
How to take action
Sign the petition to members of Alabama’s congressional delegation to demand they extend enhanced premium tax credits.
If you’re a faith leader, sign this letter to our congressional delegation.
If you’re a small business owner/employee or self-employed, sign this letter to our congressional delegation.