permanently extend Affordable Care Act premium tax credits
Will support permanently extending Affordable Care Act premium tax credits.
Occurrences
Evidence
Recent reporting says insurers cite the expiration of enhanced ACA subsidies as a major factor in proposed 2027 premium hikes, and that no comprehensive federal fix has passed.
Congress.gov lists Rep. Nancy Pelosi as an original cosponsor of H.R.1692, the Health Care Affordability Act of 2023, on March 22, 2023.
The bill would amend IRC section 36B to set lower premium contribution percentages and remove the 400 percent income cap, effective after December 31, 2022.
Congress.gov shows H.R.1692 remained at introduced/referral stage, with latest House action on December 17, 2024, and did not become law.
The House Clerk records Pelosi voting Yea on H.R.5376, which passed the House 220-207 on August 12, 2022.
The enacted text extended the enhanced section 36B premium tax credit rules from 2021-2022 to 2021-2025, ending before January 1, 2026.
Assessments
Pelosi materially supported the promised policy by voting for the Inflation Reduction Act's temporary ACA premium tax credit extension and by originally cosponsoring H.R.1692, a bill aimed at making the enhanced ACA premium tax credit structure permanent. However, the permanent extension has not been enacted; H.R.1692 did not clear Congress, and the enhanced credits remained temporary and then expired. This warrants partial credit for concrete support, not full delivery of a permanent extension.