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POSITIVE Healthcare 119th Congress

H.R.1834 ACA Premium Tax Credit Extension

Extends enhanced Affordable Care Act premium tax credits for three years, keeping insurance affordable for millions (119th Congress)

View on Congress.gov

Legal & Constitutional Grounding

CBO projects 2.2M more uninsured without extension; premiums double for 22M marketplace enrollees.

26 U.S.C. § 36B — refundable premium tax credit; enhanced by ARP (P.L. 117-2) and IRA (P.L. 117-169)
  • CBO: 2.2M more uninsured without extension
  • KFF: premiums increase 114% for 22M enrollees

Who Lobbied on This Bill

$1.6M combined quarterly activity
5 lobbying firms
5 clients represented
2025-fourth_quarter–2026-second_quarter filing period
Policy Areas Covered
Health Issues Taxation/Internal Revenue Code
Government Entities Lobbied
  • Centers For Medicare and Medicaid Services (CMS)
  • HOUSE OF REPRESENTATIVES
  • Health & Human Services, Dept of (HHS)
  • SENATE
  • Treasury, Dept of
Who Hired the Lobbyists
  • CENTER ON BUDGET AND POLICY PRIORITIES
  • PLANNED PARENTHOOD ACTION FUND INC
  • PLANNED PARENTHOOD FEDERATION OF AMERICA INC
  • AMERICAN FEDERATION OF TEACHERS
  • AMERICANS FOR TAX REFORM

Source: Senate LDA filings · Dollar figures are combined quarterly totals for all lobbying by each firm, not bill-specific spend.

ACA marketplace premium protection. Enhanced Premium Tax Credits prevent documented premium increases averaging $800/year for marketplace enrollees.