2025 Policy Priorities

Our mission is to expand access to affordable, high-quality health insurance; lower the cost of health care for individuals and families; and reduce inequities in health care. In 2025, we will pursue that mission with a comprehensive policy agenda.

Goals: Protecting Health Care

• Defeat efforts to use the budget reconciliation process to cut Medicaid funding by as much as $2.5 trillion.
• Defeat efforts to put lifetime caps on Medicaid coverage, replace the current Medicaid program with a per capita cap or a block grant program, or reduce funding for the Medicaid expansion population. 
• Defeat any legislation that would repeal or weaken the prescription drug provisions of the Inflation Reduction Act, such as the historic new Medicare Drug Price Negotiation program, the $35 monthly cap on insulin co-payments, inflation rebates, and the $2,000 annual out-of-pocket cap on prescription costs for seniors.
• Defeat or minimize executive branch sabotage of the ACA, the Inflation Reduction Act, Medicaid and Medicare and oppose administrative attacks on health equity programs.
• Make the ACA’s enhanced premium subsidies, which currently make health insurance affordable for 6.8 million people, but expire at the end of 2025, permanent.
• Mobilize opposition to numerous court cases funded by conservatives that attack ACA’s preventive services mandate, the Medicare Drug Price Negotiation Program, access to mifepristone, and Medicaid.
• Work with health care champions in Congress to conduct oversight of the Trump administration’s implementation of the ACA, Medicaid, and Inflation Reduction Act and hold them accountable for actions that will raise costs or jeopardize care for patients.

Goals: Strengthening Health Care and Lowering Costs

Work with health care champions in Congress to introduce and promote legislation that could be advanced in future Congresses including legislation to:

• Lower prescription drug costs by extending the Inflation Reduction Act’s $2,000 annual out-of-pocket cap and inflation rebate penalties to commercial health plans
• Increase the number of drugs subject to Medicare negotiation from 20 to 50 and reduce the period they are on the market before they are eligible for negotiation
• Extend coverage to the 1.6 million people who fall into the Medicaid “coverage gap” in the 10 states that have refused to expand Medicaid
• Require all states to provide 12 months of postpartum Medicaid coverage
• Comprehensively address the drivers of maternal mortality, morbidity, and disparities (the “Black Maternal Health Momnibus Act.”
• Advance bipartisan legislation to extend the $35 monthly cap on insulin co-payments for people on Medicare to everyone. 
• Work with select governors to lower costs and expand coverage