PAN disappointed in ACA premium tax credit expiration
Today, the PAN Foundation expressed deep disappointment that Congress allowed the Affordable Care Act’s (ACA) enhanced premium tax credits to expire as of December 31, 2025. These credits have helped keep monthly premiums affordable for those who purchase coverage through the health insurance marketplace. PAN, however, remains hopeful that there will be a resolution in early 2026, including an extension of the ACA open enrollment period.
Using 2025 data on the number of people selecting ACA marketplace plans, Urban Institute researchers have estimated that the end of the enhanced premium tax credits will lead to 7.3 million people losing their ACA coverage in 2026, of whom 4.8 million would become uninsured.
Nobody should face the choice between affording their healthcare and their other basic needs—such as rent, food, or utilities. Unfortunately, that is now a reality for millions of Americans.”
Amy Niles, Chief Mission Officer
“We are deeply disappointed that lawmakers let these life-saving ACA premium tax credits expire,” said PAN Chief Mission Officer, Amy Niles. “This fall, the PAN Foundation empowered patients, caregivers, and healthcare professionals nationwide to send over 10,000 messages to Congress urging them to extend the ACA premium tax credits. Nobody should face the choice between affording their healthcare and their other basic needs—such as rent, food, or utilities. Unfortunately, that is now a reality for millions of Americans. Despite our disappointment, alongside our partners and broader PAN community, we will continue to advocate for improved healthcare access and affordability for all.”
As a leading charitable foundation and healthcare advocacy organization, the PAN Foundation is driven by the belief that everyone deserves access to affordable healthcare. That’s why—alongside patients, caregivers, healthcare professionals, and partners—PAN champions long-term solutions for patients through advocacy, patient-centered research, and education.
Learn more about PAN’s policy positions and advocacy work.
About the PAN Foundation
As a leading charitable foundation and healthcare advocacy organization, the PAN Foundation is dedicated to accelerating access to treatment for those who need it most and empowering patients on their healthcare journeys. We provide critical financial assistance for treatment costs, advocate for policy solutions that expand access to care, and deliver education on complex topics—all driven by our belief that everyone deserves access to affordable, equitable healthcare.
Since 2004, our financial assistance programs have helped more than 1.3 million people to start or stay on life-changing treatment. In addition, we’ve achieved major policy victories that increase access to care, mobilized patient advocates to call for change, and educated people nationwide on critical healthcare-related topics. We’re committed to working towards a future where equitable health outcomes are a reality for all. To learn more, visit panfoundation.org.