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HEADLINES: Nearly 24 Million Enroll In Health Care Through The Affordable Care Act — An All-Time High

Health Care Coverage Through The ACA Continues To Hit New Highs As Republican Threats Loom

As the end of Open Enrollment nears, the Biden-Harris administration announced that nearly 24 million people have enrolled in health insurance through the Affordable Care Act (ACA) for 2025 so far – already shattering last year’s record of 21.4 million enrollees, with 3.2 million new enrollees. ACA enrollment has more than doubled since Trump’s first term in office. Thanks to the Inflation Reduction Act’s tax credits that lower premium costs, 80 percent of people can find a health plan through the Marketplace for $10 or less per month. Taking away these tax credits would increase premiums, and result in millions losing their health care.

It is up to Republicans to stop premium hikes. With a Republican trifecta set to take power by the end of the month and so many enrolled in affordable coverage, the Republican threat to affordable health care looms large. Not only do Republicans want to take away tax credits for working families, but they are revisiting additional policies to raise costs, undermine the ACA, and take away protections for people with pre-existing conditions — all to give billions in tax breaks to billionaires. While in office, Trump attempted to repeal the ACA and was just one vote short in 2017. Under his first administration, Trump and his GOP allies did everything in their power to sabotage the ACA, resulting in millions of Americans losing their health insurance coverage and drug prices skyrocketing. 

The New York Times: Obamacare Enrollment Hits Record Ahead Of Trump’s Return. “… gains have been driven in part by major federal subsidies that helped shave the cost of premiums across income groups… In a statement, Mr. Biden called on Congress to ‘double down on the progress we have made’ by extending them.” [The New York Times, 1/8/25]

CNN: Obamacare Signups Near A Record 24 Million, Almost Double Than When Trump Was Last In Office. “Obamacare coverage has exploded in popularity during President Joe Biden’s term, fueled by more generous federal subsidies, heightened outreach and an easier enrollment process. Nearly 24 million people have signed up for Affordable Care Act plans for 2025 so far, and more are expected to choose policies before open enrollment ends on January 15 in most states, the administration announced Wednesday. This includes almost 3.2 million new consumers and more than 20.4 million returning ones. […] Roughly 12 million people signed up for 2021 coverage during the final open enrollment period of President-elect Donald Trump’s first term, when he unsuccessfully vowed to kill the landmark health reform law and took multiple steps to make Obamacare less attractive and accessible. But the enrollment gains are at risk: The enhanced federal premium subsidies, which were put in place when Democrats controlled Congress earlier in Biden’s term, are set to expire at the end of 2025. It will be up to Trump and the Republican-led Congress to decide whether to extend them.” [CNN, 1/8/25]

ABC News: Record 24 Million Enroll In Affordable Care Act Health Insurance As Biden’s Term Ends, White House Says. “The 2025 enrollment figure is buoyed by 3.2 million new consumers compared to last year, the Center for Medicare & Medicaid Services said… ‘That means that enrollment has nearly doubled since I took office,’ President Joe Biden said in a statement. ‘That’s no coincidence. When I took office, I made a promise to the American people that I would bring down the cost of health care and prescription drugs, make signing up for coverage easier, and strengthen the Affordable Care Act, Medicare, and Medicaid.’” [ABC News, 1/8/25]

The Hill: Biden Administration Achieves Fourth Record-Breaking ACA Enrollment Ahead Of Exit. “The Biden administration has achieved a fourth consecutive record year in HealthCare.gov Marketplace enrollment, one week before the final sign-up deadline and its imminent exit from office… The past four years of record-breaking enrollment have been credited to enhanced subsidies first passed by the American Rescue Plan Act in 2021 and extended by the Inflation Reduction Act through the end of 2025.” [The Hill, 1/8/25]

USA Today: Biden Touts Record Obamacare Signups, Urges Congress To Extend Subsidies. “Nearly 24 million consumers have picked an Affordable Care Act health insurance plan for 2025, breaking last year’s record enrollment, even though consumers have another week to sign up for coverage this year, Biden administration officials announced Wednesday. The number of signups this year surpassed last year’s record of 21.4 million people. And consumers have through Jan. 15 to select a health insurance plan from the federal marketplace, Healthcare.gov, according to the Centers for Medicare & Medicaid Services. The record signups have been buoyed by the generous subsidies Congress passed during the COVID-19 pandemic, but outgoing Biden administration officials warned there’s no guarantee they’ll be extended beyond the end of this year.” [USA Today, 1/8/25]

United Press International: Affordable Care Act 2025 Enrollment Hits Record At Nearly 24 Million. “He said when he took office he promised the American people that he ‘would bring down the cost of health care and prescription drugs, make signing up for coverage easier, and strengthen the Affordable Care Act, Medicare, and Medicaid.’ Biden said his administration delivered on that promise.” [United Press International, 1/8/25]

Florida Phoenix: Florida Leads The Nation (Again) In Obamacare Enrollment. “More than 4.6 million Florida residents enrolled in an Obamacare plan through the “Marketplace” for 2025 health insurance coverage. Data released by the Centers for Medicare & Medicaid Services show that 4,633,650 residents signed up for insurance coverage through the Marketplace by the end of 2024. Nationally, CMS reports that 23.6 million people enrolled for 2025 coverage, including 3.2 million new consumers. Total enrollment is record-breaking, CMS said in a statement. Four insurance companies and 12 health maintenance organizations (HMOs) are participating in the Florida Marketplace, the Florida Office of Insurance Regulation website shows. HMO coverage is regional and people must live in the area an HMO is authorized to operate in to enroll in the managed care plan.” [Florida Phoenix, 1/8/25]

Atlanta Journal-Constitution: Georgia ACA Health Insurance Enrollment Surges Again, To 1.5 Million. “More than 200,000 new Georgians have been added to the Affordable Care Act health insurance rolls this year, for a total of more than 1.5 million. The increase over last year’s 1.3 million marks a new record, in line with increases nationwide, White House officials said Tuesday. The deadline to sign up for 2025 coverage is January 15. Nationwide, more than 3 million new shoppers bought ACA plans. The ACA marketplace now insures a total of 23 million Americans.” [Atlanta Journal-Constitution, 1/8/25]

STATEMENT: Record 23.6 Million Americans Enrolled in Affordable ACA Plans, More Than Double When Trump Was Last in Office

The Record Number Enrolled Is Thanks to Enhanced Tax Credits That Are Set to Expire at the End of This Year Unless Republicans Act Now 

Washington, D.C. — Today, the Department of Health and Human Services announced that a record 23.6 million Americans have already signed up for 2025 health insurance through the Affordable Care Act (ACA) marketplaces – more than two million than selected a plan for last year and more than double the number enrolled in 2020, the last year of the first Trump administration. 

Thanks to the Inflation Reduction Act’s tax credits that lowered premium costs, 80 percent of people can still find a health plan through the Marketplace for $10 or less per month. However, these tax credits are set to expire at the end of the year, and Republicans have so far refused to extend them. If Congress fails to act soon, 5 million Americans will become uninsured and costs will skyrocket for millions more. Donald Trump still has not given up on his attempts to repeal the ACA and its protections for pre-existing conditions. In response, Protect Our Care Chair Leslie Dach issued the following statement:

“These record numbers prove that Americans want and need the health care provided by the Affordable Care Act. Nearly 24 million Americans are enrolled in quality, affordable coverage today because of the tax credits passed by President Biden and Democrats in Congress without a single Republican vote. However, all of this progress is at risk if Republicans take these tax credits away from millions of Americans – premiums could increase by 50% and at least five million people will lose their coverage. But instead of making health care more affordable, Republicans want to give huge tax breaks to billionaires and big corporations. If Republicans are successful, millions of Americans will have their health care ripped away and the health care system will be thrown into chaos.”

TODAY: Protect Our Care Joins “Hands Off Medicaid” Events Across New York, Pennsylvania, and California as Republicans Threaten Health Care Cuts

***MEDIA ADVISORY FOR WEDNESDAY JANUARY 8***

Republicans Want to Slash Health Care and Threaten a Lifeline for Over 72 Million Americans to Fund Tax Breaks for Billionaires

On Wednesday, January 8, health care advocates, elected officials, beneficiaries, and union members will host press conferences across New York, Pennsylvania, and California to tell Republicans that Medicaid cuts must be off the table as they negotiate a budget reconciliation package. The events will take place outside of key congressional offices to sound the alarm on what these cuts could mean for constituents. 

Leading Republicans are ramping up threats to cut Medicaid in order to pay for tax cuts for the wealthiest Americans, which would rip away health care from millions of families who count on it, including kids, moms, seniors, people of color, rural Americans, workers whose employers don’t provide health insurance, and people with disabilities. Medicaid is the largest health insurance program in the country, providing health care to more than 70 million Americans. The consequences of any cuts to Medicaid would touch nearly every household in America. 

NEW YORK

HAUPPAUGE, NEW YORK

WHO: Local health care advocates

WHAT: “Hands Off Medicaid” rally 

WHEN: Wednesday, January 8, 2025, at 12 PM ET

WHERE: Rep. Nick LaLota’s Office, 515 Hauppauge Road, Hauppauge NY 11788

PATCHOGUE, NEW YORK

WHO: Long Island health care advocates

WHAT: “Hands Off Medicaid” rally 

WHEN: Wednesday, January 8, 2025, at 12 PM ET

WHERE: Rep. Andrew Garbarino’s Office, 31 Oak Street, Patchogue NY 11722

PEARL RIVER, NEW YORK

WHO:
Sandra Abegg, 1199SEIU Respiratory Therapist at the Northern Manor in Nanuet, NY
Citizen Action representatives
NAACP representatives
Casandra Chen, Healthcare Advocate, Healthcare Education Project

WHAT: “Hands Off Medicaid” rally 

WHEN: Wednesday, January 8, 2025, at 12 PM ET

WHERE: Rep. Mike Lawler’s Office, One Blue Hill Plaza, Pearl River NY 10965

CALIFORNIA

BAKERSFIELD, CALIFORNIA

WHO: Local patients, healthcare workers, and community members 

WHAT: “Hands Off Medicaid” rally 

WHEN: Wednesday, January 8, 2025, at 11 AM PT // 2 PM ET

WHERE: Rep. David Valadao’s Office, 2700 M Street Suite 250B Bakersfield, CA 93301

PALM DESERT, CALIFORNIA

WHO: Local patients, healthcare workers, and community members 

WHAT: “Hands Off Medicaid” rally 

WHEN: Wednesday, January 8, 2025, at 11 AM PT // 2 PM ET

WHERE: Rep. Ken Calvert’s Office, 73710 Fred Waring Drive, Suite 129, Palm Desert, CA  92260

ANAHEIM, CALIFORNIA

WHO: Local patients, healthcare workers, and community members 

WHAT: “Hands Off Medicaid” rally 

WHEN: Wednesday, January 8, 2025, at 11 AM PT // 2 PM ET

WHERE: Rep. Young Kim’s Office, 180 N. Riverview Dr. Suite 150 Anaheim, CA 92808

PENNSYLVANIA

LANGHORNE, PENNSYLVANIA

WHO:
Rachele Fortier, Family Friendly Economy
Katy Personette, New Pennsylvania Project
Signe Espinoza, Planned Parenthood Pennsylvania Advocates

WHAT: “Hands Off Medicaid” rally 

WHEN: Wednesday, January 8, 2025, at 4 PM ET

WHERE: Rep. Brian Fitzpatrick’s Office, 1717 Langhorne Newtown Rd. Suite 225, Langhorne, PA 19047

RSVP: Media can RSVP to Ashley Matthews, [email protected] or 484-832-7432

ALLENTOWN, PENNSYLVANIA

WHO:
Make the Road PA
Planned Parenthood Pennsylvania Advocates
Working Families Party

WHAT: “Hands Off Medicaid” rally 

WHEN: Wednesday, January 8, 2025, at 4 PM ET

WHERE: Rep. Ryan MacKenzie’s Office, 3900 Hamilton, Allentown PA 18130

RSVP: Media can RSVP to Ashley Matthews, [email protected] or 484-832-7432

JENKINS TOWNSHIP, PENNSYLVANIA

WHO: Local health care advocates

WHAT: “Hands Off Medicaid” rally 

WHEN: Thursday, January 9, 2025, at 6 PM ET

WHERE: UFCW 1776, 1776 Luzerne County, 2007 PA-315 Jenkins Township, PA 18640

NEW: Protect Our Care Hosts Day of Action on Capitol Hill Featuring Mobile Billboard, Digital Ad Campaign, and Report Distribution on How RFK Jr. is a Threat to Americans’ Health

Protect Our Care Launches Mobile Billboard on Capitol Hill and Delivers Report to All 100 U.S. Senators 

Watch the Mobile Billboard Here.

Washington, D.C. – On Wednesday, January 8, Protect Our Care is launching a mobile billboard that will circle the Capitol from 8 AM to 4 PM slamming Robert F. Kennedy Jr.’s visit to Samoa in 2019, where his anti-vaccination conspiracy theories led to deadly consequences. The video accompanying the mobile billboard will also be used in a digital advertising campaign in key states of Republican Senators, including those who serve on key committees considering his nomination and those who have expressed concern regarding his opposition to vaccines.

Protect Our Care will also distribute its report on RFK Jr.’s deadly visit to Samoa to all 100 Senate offices on Capitol Hill. Activists will be fanning out across Capitol Hill to distribute the report and buttonhole Senators and staff to highlight the deadly consequences of putting RFK Jr. in charge of American health care.

The report, digital ad campaign and mobile billboard come as Hawaii Governor Josh Green meets with senators to raise awareness of RFK Jr.’s role in a devastating measles outbreak in Samoa. In 2019, Governor Green, a physician and at the time Hawaii’s Lt. Governor, visited Samoa in the aftermath to help vaccinate over 37,000 people. He saw firsthand how RFK Jr.’s vaccine misinformation contributed to the deaths of 83 people, mostly children, which he described in detail in a New York Times opinion piece this week.

Protect Our Care is calling on senators to oppose RFK Jr.’s nomination as Secretary of the Department of Health and Human Services (HHS). This report and mobile billboard are part of Protect Our Care’s “Stop RFK War Room” campaign to educate people on why RFK Jr. is unfit for the job and the insurmountable damage he could do if confirmed.

“RFK Jr.’s deadly visit to Samoa is a preview of what would come if he takes the reins of America’s public health care system,” said Protect Our Care Executive Director Brad Woodhouse. “Dangerous conspiracy theories have devastating consequences. RFK Jr. has a long track record of peddling costly lies – he believes no vaccine is safe or effective and has pledged to stop funding research for treatments and cures to deadly diseases. His past attacks on public health and continued refusal to accept responsibility for the lives lost in Samoa are among the many reasons why RFK Jr. is deeply unqualified and unfit to lead the Department of Health and Human Services.”

Mobile Billboard/Digital Ad Script:

Narrator: Robert F Kennedy Jr. is no health care leader. He’s a threat to your family’s health. RFK Jr. spreads deadly lies about vaccines, calling them unsafe and ineffective. His conspiracy theories fueled a measles outbreak in Samoa, killing 83 people, mostly babies and toddlers.

CNN Clip: RFK went and rallied that country against vaccinations. It resulted in the deaths of 83 innocent children. 

Narrator: Now he’s been nominated to oversee America’s health care system – Medicare, Medicaid, vaccines, research. The health of every American is at stake. 

RFK Jr.: There’s no vaccine that is, you know, safe and effective. 

Narrator: He’d defund life-saving research and drug development, gut the FDA, let diseases like polio and measles resurge. This isn’t leadership. It’s a death sentence. Tell your Senators: reject RFK Jr. He’s not just unfit, he’s dangerous.

STATEMENT: MAGA Republicans Plot Devastating Medicaid Cuts Ahead of House Retreat

Republicans in Congress Want to Slash Health Care to Fund Tax Breaks for the Wealthiest Americans

Washington D.C. — House Republicans are preparing for a retreat this weekend to discuss a reconciliation bill that pushes their extreme priorities, including ripping away health care from millions of Americans. Trump and MAGA Republicans are plotting deep cuts to Medicaid in order to fund their outrageous tax breaks for the wealthiest Americans. As a result, millions would lose coverage, including children, new moms, seniors, and people with disabilities. In response, Protect Our Care Executive Director Brad Woodhouse issued the following statement:

“Medicaid is on the chopping block. MAGA House Republicans are wasting no time as they plot to rip away health care from millions of Americans in order to fund tax breaks for their billionaire buddies. Trump and his GOP minions have made clear that they will put the richest one percent and big corporations ahead of everyday families. Their dangerous attacks on Medicaid are threatening a lifeline for over 75 million Americans, including kids, moms, seniors, people of color, rural Americans, and people with disabilities. We must do everything we can to protect affordable health care access and prevent MAGA Republicans from throwing our health care system into complete chaos.”

Background:

WHAT THEY’RE SAYING: Republicans Threaten Deep Cuts to Medicaid and Medicare

FACT SHEET: RFK Jr. Is Completely Unqualified To Run The Department of Health and Human Services

In the wake of Trump’s nomination of Robert F. Kennedy for Secretary of Health and Human Services (HHS), he’s been on a whirlwind media tour attempting to convince the public that he’s up for the job. But Kennedy’s empty resumé makes it clear that he is utterly unqualified to run HHS. He has no medical training or expertise, no legitimate background in health care or public health and he lacks any notable organizational leadership or managerial experience. Furthermore, he’s managed fewer people than the average Walmart customer service manager. As a man who “do[es] not believe that infectious disease is an enormous threat to human health” and holds blatantly racist and antisemitic views on public health, RFK Jr. has absolutely no place in the halls of power – let alone at the helm of the country’s largest civilian agency employing over 80,000 employees and regulating a sector accounting for nearly a fifth of the national economy.

Kennedy Is Inexperienced and Completely Unqualified To Lead The Nation’s Largest Civilian Agency. Kennedy is utterly unqualified for the role of HHS Secretary. He has no relevant experience for this position, has never worked in government, and has never directed a large organization of any kind – not to mention the fact that Kennedy has no medical expertise. He is not a doctor, he does not have a medical degree or even a substantial amount of medical-related coursework under his belt. His undergraduate degree focused on American history and literature, and his postgraduate studies were dedicated to legal studies. His legal work experience focused on environmental law, not public health law. Kenndy only began wading into public health when he began his conspiratorial anti-vaccine advocacy in the early 2000s.

Kennedy’s Only Organizational Leadership Experience Involved Fewer Than 10 Staff Members. Kennedy has no analogous leadership experience and is wholly unprepared to lead the nation’s largest civilian agency. He has less than a decade of experience in his only leadership role, which is leading the anti-vaccine advocacy group Children’s Health Defense. The group lists fewer than ten staff members – compared to more than 80,000 employees of HHS across a diverse array of sub-agencies and departments. HHS oversees health care for the 163 million Americans enrolled in ACA Marketplace plans, Basic Health plans, Medicare, Medicaid, and CHIP – just under half of the U.S. population. The agency regulates the health care sector, which accounts for more than 17 percent of the U.S. economy. If Kennedy gets confirmed, American lives will be at risk. 

Kennedy’s Top Priority? Pausing All Research On Drug Development And Gutting The FDA. At a June 2024 town hall meeting Kennedy said, “I’m going to go to NIH my first week and I’m going to call all the division heads and I’m going to call all the bureau chiefs and I’m going to say, we’re going to give drug development and infectious disease a break. A little break, a little bit of a break for about eight years.” Kennedy has made the National Institutes of Health (NIH), one of the world’s top medical research centers, a top target. These remarks echo what he told an anti-vaccine conference in November 2023, when he said, “I’m gonna say to NIH scientists, God bless you all. Thank you for [your] public service. We’re going to give infectious disease a break for about eight years.” Kennedy claims to have a list of 600 employees of the NIH that he plans to fire on day one. He wants to divert NIH funding away from drug research by devoting “half of research budgets” towards “alternative and holistic approaches to health.” Kennedy has also claimed that he will go after medical journals and redirect funding away from epidemiology, a practice that seeks to prevent and control the spread of disease. 

Kennedy, Who “Do[es] Not Believe That Infectious Disease Is An Enormous Threat To Human Health,” Has Vowed To Defund The National Institutes of Health and Infectious Disease Research. At a 2023 roundtable, Kennedy said he does “not believe that infectious disease is an enormous threat to human health.” He claimed that “medical research on these diseases and vaccine research has created some of the worst plagues in our history” and baselessly asserted that vaccine research was responsible for the creation of HIV, the Spanish flu, Lyme, and RSV. 

Just like the NIH, Kenndy has the FDA in his crosshairs. Kennedy has threatened to prosecute Dr. Anthony Fauci and claimed that he would eliminate “entire departments” and hundreds of employees at the FDA. During an event in October 2024, Kennedy also said he would fire every nutritional scientist at the FDA “on day 1,” claiming he would otherwise “ship them to a new HHS headquarters in Guam” if unable to fire them. He also wants to end fees for big pharmaceutical companies to send drugs to the FDA for approval – even though those fees pay for 75 percent of the agency’s budget. Before the 2024 election, Kennedy posted on social media, “FDA’s war on public health is about to end. This includes its aggressive suppression of psychedelics, peptides, stem cells, raw milk, hyperbaric therapies, chelating compounds, ivermectin, hydroxychloroquine, vitamins, clean foods, sunshine, exercise, nutraceuticals and anything else that advances human health and can’t be patented by Pharma. If you work for the FDA and are part of this corrupt system, I have two messages for you: 1. Preserve your records, and 2. Pack your bags.” Likewise, nominated HHS Deputy Secretary Jim O’Neill has been critical of the FDA, once reportedly calling for the agency to approve drugs based only on safety concerns and to later determine their efficacy.

Kennedy’s Silence on Medicare, Medicaid, and The ACA Demonstrates His Lack of Fitness To Oversee Health Care For Over 160 Million Americans. Despite being nominated to run HHS, Kennedy has failed to take any position on America’s largest health care institutions: Medicare, Medicaid, and the Affordable Care Act (ACA). HHS oversees health care for the 163 million Americans enrolled in ACA Marketplace plans, Basic Health plans, Medicare, Medicaid, and CHIP, or just under half of the U.S. population. 

Kennedy’s Blatantly Racist and Antisemitic Views on Public Health Have No Place Leading HHS. Kennedy has a long history of racism and antisemitism. He has frequently met with and promoted antisemites ranging from disgraced musicians like rapper Ice Cube to fringe online broadcasters and virulent antisemites. At a July 2023 dinner, Kennedy proposed that the COVID-19 virus may have been ethnically targeted to spare Jewish and Chinese people: “COVID-19 is targeted to attack Caucasians and Black people. The people who are most immune are Ashkenazi Jews and Chinese.” After the speech went viral, neo-Nazis, holocaust deniers, and antisemites celebrated Kennedy’s conspiracy theory as “100% correct.” In November 2024, new reporting revealed that Kennedy embraced the possibility that the government manufactured the COVID-19 “plandemic,” declaring that the public health response was part of an “agenda that will enslave the entire human race.” Kennedy has also specifically targeted his anti-vaccine dogma at Black Americans. He pushed false claims about Black Americans supposedly being “particularly vulnerable to vaccine injuries including autism” during a 2017 measles outbreak devastating Minnesota’s Somali-American community. In a 2020 interview, Kennedy also asserted without evidence that “People with African blood react differently to vaccines than people with Caucasian blood. They’re much more sensitive.” During the COVID-19 pandemic, he also called the COVID-19 vaccine “a crime against humanity” and falsely claimed that it is the “deadliest vaccine ever made,” releasing a film promoting disproven claims about the dangers of vaccines and explicitly warning Black communities of “sinister” vaccination campaigns.

Brain Worms, Animal Carcasses, and Extramarital Affairs: Kennedy Is Unstable and Unfit to Hold Office. Kennedy has a long and well-documented history of erratic and bizarre behavior. In May 2024, Kennedy disclosed that in 2010 doctors found a dead parasitic worm in his brain, leading to brain fog and memory problems. In August 2024, Kennedy admitted to illegally nabbing roadkill, moving a bear cub’s carcass that was hit by a car in upstate New York to Central Park, and staging a bicycle accident. Federal law enforcement is also currently investigating RFK Jr. for cutting off the head of a dead whale and taking it home 20 years ago. Kennedy has a known history of extramarital affairs as well; this year alone, news broke of a sexting scandal with a reporter and four women came forward claiming to have been romantically involved with Kennedy.

HEADLINES: Biden Administration’s $2,000 Prescription Drug Cost Cap for Seniors Takes Effect

For far too long, seniors and hard-working families have been paying three to four times more for their prescription drugs than people in other countries. But President Biden, Vice President Harris, and Democrats in Congress took on big drug companies and won. On January 1, the $2,000 out-of-pocket prescription drug cost cap, a major provision of the Inflation Reduction Act, took effect, saving nearly 19 million Americans an average of $400 each year. 

Despite widespread support from people across the country, the Inflation Reduction Act passed without a single Republican vote, and now they are working to repeal the Inflation Reduction Act and its prescription drug savings. The Inflation Reduction Act is ensuring seniors can afford the care they need without sacrificing other basic needs like groceries, gas, and rent but Republicans are playing politics with seniors’ benefits. Across the country members of the Biden Administration, Congress, and news outlets highlighted the new savings available for seniors.

HEADLINES

CNN: Seniors Won’t Pay More Than $2,000 for Drugs at the Pharmacy Starting in January. 

  • “Before the law, there was no cap on what Medicare enrollees might have to spend on medications covered by their Part D drug plans. They were on the hook for 5% of their drugs’ cost in the so-called catastrophic coverage phase, which, in 2023, began when they hit $7,400 in out-of-pocket spending.”
  • More than 3 million enrollees who do not receive Medicare’s low-income subsidy should benefit from the $2,000 cap, according to AARP. That figure will rise to more than 4 million in 2029. About 40% of beneficiaries who reach the limit between 2025 and 2029 will see an estimated annual savings of $1,000 or more.”

CBS: Medicare’s New $2,000 Prescription Drug Cap Goes Into Effect. Here’s How It Works. 

  • The out-of-pocket cost cap could be a “game changer” for many seniors, Ryan Ramsey, the associate director of health coverage and benefits at the National Council on Aging (NCOA) told CBS MoneyWatch. In the first year of the cap, about 3.2 million Medicare recipients are likely to see lower costs due to the new rule, particularly seniors who take multiple medications or have high-cost prescriptions, according to an analysis from AARP.”

The Hill: Medicare’s New Drug Price Cap Kicks In Jan. 1.

  • “A key cost-saving provision of the Inflation Reduction Act (IRA) goes into effect in the new year, limiting annual out-of-pocket spending on prescription drugs to $2,000 for Medicare beneficiaries. Starting on Jan. 1, 2025, an estimated 19 million Medicare beneficiaries will see their out-of-pocket Medicare Part D spending capped at $2,000 for the year. This annual cap will be indexed to the rate of inflation every year going forward. An interim spending cap of roughly $3,500 was put in place in 2024. According to an administration official, those with Medicare will save an average of $400 a year.”

Fox43: What to Know About Medicare’s Prescription Drug Cost Cap in 2025.

  • “In prior years, Part D saw a coverage gap known as a “donut hole,” which forced recipients to pay out-of-pocket costs after an initial coverage threshold was reached. The costs would be paid out-of-pocket until a “catastrophic” threshold was reached. In 2024, that threshold was $8,000. This threshold is now eliminated.

WBRC: 2025 Marks the Start of Medicare Prescription Drug Cap. 

  • “Thousands of Alabamians are now saving money at the pharmacy because of a new Medicare prescription drug cap that kicked in Wednesday. Right now, prescription copays are capped at a maximum of $2,000 a year for people on Medicare prescription drug plans. This was a part of the Federal government’s Inflation Reduction Act. AARP estimates 61,000 Alabamians will save on prescriptions.”

WTAE: New Medicare Rules to Cap Prescription Drug Costs for Seniors.

  • “The changes aim to remove barriers to healthy living and help lower costs for seniors. ‘[It’s] a really big deal for people with Medicare since most folks on Medicare live on relatively low incomes,’ Cubanski said. In some cases, the changes could help many struggling to keep up with paying and taking their prescriptions. ‘In some cases, they simply don’t fill their prescriptions,’ Health Research Professor Jack Hoadley of George Washington University said. ‘For the system, that means they may not end up in the hospital. It’s improving their health and therefore improving cost and creating savings for the health system as a whole.’”

AllOnGeorgia: Sen. Ossoff Announces Start of $2,000/Year Cap on Prescription Drug Spending for Georgia Seniors.

  • “Thanks to legislation Sen. Ossoff helped pass into law in 2022, out-of-pocket prescription drug costs for seniors with Medicare Part D are now capped at $2,000 per year starting January 1, 2025. According to AARP, the new prescription drug cap Sen. Ossoff helped pass into law will benefit more than an estimated 100,000 Georgia seniors who spend over $2,000 per year for medicine.”

STATEMENTS

President Joe Biden: “Before I took office, people with Medicare who took expensive drugs could face a crushing burden, paying $10,000 a year or more in copays for the drugs they need to stay alive. When I took on Big Pharma and won, we changed that, capping seniors’ out-of-pocket spending on drugs they get at the pharmacy for the first time ever. Costs were capped at about $3,500 in 2024, and in just the first six months of the year, this policy saved people with Medicare $1 billion in cost-sharing. On January 1, 2025, the cap on drug costs fully phases in, and costs are now capped at $2,000 per year. As a result, 19 million people are expected to save an average of $400 each. That’s a game changer for the American people. My Inflation Reduction Act has changed Medicare for the better, and as a result Americans will have more money back in their pockets in the years to come.” [Press Release, 12/31/24]

HHS Secretary Xavier Becerra: “Starting January 1, millions of seniors begin saving thousands of dollars on their prescription drugs – thanks to the Inflation Reduction Act’s yearly cap on out-of-pocket prescription drug costs. This is yet another pivotal milestone in the Biden-Harris Administrations work to lower prescription drug costs for Americans.” [Press Release, 12/31/24]

CMS Deputy Administrator and Director Meena Seshamani: “Happy New Year! For the first time ever, there is now a $2000 out of pocket cap for #Medicare and a new Medicare Prescription Payment Plan to help spread costs over the year. So honored to work with the Medicare team to bring this needed financial relief to millions.” [X, 01/01/25]

Representative Richard E. Neal (D-MA-01), Ways and Means Committee Ranking Member, and Representative Steven Horsford, Ways and Means Committee Member (D-NV-04): “With the new year comes another way Democrats are delivering on lower costs and more breathing room for the American people. In 2025, seniors will pay no more than $2,000 out-of-pocket for their prescription drugs—it’s a stunning achievement and all thanks to the leadership of President Biden and House Democrats. The underlying legislation, Capping Drug Costs for Seniors Act, proudly came from the Ways and Means Committee and will materially change lives. The Inflation Reduction Act has already saved seniors over $1 billion in just the first six months of last year, and more savings are on the way when the price cap goes into effect today. The American people are better off with affordable, accessible health care, and Democrats will never stop fighting to make it a reality.” [Press Release, 01/01/25]

Representative Frank Pallone (D-NJ-06), House Energy & Commerce Committee Ranking Member: “Great news — Starting today, out-of-pocket costs on prescription drugs for seniors will be capped at $2,000 per year. This is another way the Democrats’ Inflation Reduction Act is providing relief to seniors who have been gouged on their prescription drug bills for too long.” [X, 01/01/25]

Representative Lauren Underwood (D-IL-14): “Starting TODAY, out-of-pocket drug costs for people on Medicare are CAPPED at $2,000 annually because @HouseDemocrats fought to lower costs.” [X, 01/01/25]

Representative Marcy Kaptur (D-OH-09): “Because of the Inflation Reduction Act, beginning today seniors on Medicare across NW Ohio and nationwide will have their prescription drug costs capped at $2,000 annually. I will never stop fighting to lower costs for you.” [X, 01/01/25]

Representative Dina Titus (D-NV-01): “Effective TODAY seniors on Medicare will pay no more than $2,000/year for prescription drugs, thanks to the Inflation Reduction Act I supported.” [X, 01/01/25]

STATEMENT: Seniors Ring in the New Year With More Savings on Prescription Drugs Thanks to the Inflation Reduction Act

Seniors Are Saving Thousands Thanks to President Biden and Democrats in Congress, But Republicans Plan Repeal To Fund Tax Breaks

Washington D.C. — Yesterday, the $2,000 out-of-pocket prescription drug cost cap, a major provision of the Inflation Reduction Act, took effect, saving seniors thousands of dollars a year. Seniors will save even more next year when lower prices negotiated by Medicare go into effect. Prior to the Inflation Reduction Act, there was no limit on what the nearly 56 million people who count on Medicare had to pay for their prescriptions, putting life-saving medication out of reach for many. The Inflation Reduction Act also caps monthly insulin costs at $35 for people on Medicare, gives Medicare the power to negotiate lower drug prices, and penalizes drug companies for raising drug prices faster than inflation. However, not a single Republican voted for the Inflation Reduction Act and they have vowed to repeal it. In response, Protect Our Care Chair Leslie Dach issued the following statement: 

“The new out-of-pocket cost cap is a game-changer for our nation’s seniors. President Biden and Democrats in Congress stood up to big drug companies and won. Now, seniors are saving money, ensuring they can afford the care they need without sacrificing other basic needs like groceries, gas, and rent. Every Republican member of Congress sided with the drug companies and voted against lower prices for seniors and, now, Donald Trump and Republicans want to raise costs by repealing these lifesaving changes. Republicans want to allow drug companies to charge whatever they want at the expense of American seniors. The GOP plans have one goal in mind: slash the programs families rely on to fund more tax breaks for billionaires and let American families suffer the consequences.”

Background:

Reminder: MAGA Republicans Want to Raise Costs and Rip Away Health Care

ROUND UP: Lawmakers and Advocates Urge Republicans to Stop Premium Hikes, Protect Health Care For Millions

Instead of Protecting Health Care for Millions of Americans, Republicans Are Working Overtime to Hand Out More Tax Breaks to Their Wealthy Friends on Wall Street

Over the past few weeks, Democratic lawmakers including Representative Angie Craig (D-MN-02), HHS Regional Directors, and health care advocates joined Protect Our Care to sound the alarm about the urgent need for Congress to stop Republican premium hikes. As open enrollment for  the Affordable Care Act (ACA) is underway, millions of families are saving hundreds of dollars thanks to the Inflation Reduction Act’s tax credits. Last year, 21.4 million Americans enrolled with 4 out of 5 finding a plan for $10 or less per month. During the events, speakers explained what is at risk if Republicans in Congress cut funding and let the ACA tax credits expire at the end of 2025. 

Allowing the tax credits to expire is part of a wider effort to sabotage the Affordable Care Act. Donald Trump and his GOP allies have made clear that ripping away health care for millions of Americans is a top priority for 2025. Recent reporting indicated that Medicaid will be targeted for budget cuts in the coming year while Trump has even put repealing the ACA back on the table. If the enhanced tax credits do expire, 5 million Americans will become uninsured as costs skyrocket for over 20 million more and Republicans will own the premium hikes and coverage losses for middle-class families.

UPCOMING:

ALASKA

WHO:
State Representative Genevieve Mina (D-AK-19)
Stephanie Bergstrom, Lifelong Alaskan enrolled in the Open Market
Amber Lee, Protect Our Care Alaska

WHAT: Virtual Press Conference

WHERE: Register for the Zoom here [Registration required]

WHEN: Friday, December 20, at 11:30 AM AKST // 3:30 PM ET

PAST: 

CALIFORNIA 

Friday, December 6 — ACA/Medicare Open Enrollment event with San Clemente City Councilmember Chris Duncan and Health Care Advocates: San Clemente City Councilmember Chris Duncan and health care advocates joined Protect Our Care California to highlight the critical benefits that Medicare provides for California seniors as well as the importance of expanding and protecting the ACA, especially as Republicans in Congress want to do away with enhanced premium tax credits. Losing these tax credits will raise premiums and make health care coverage out of reach for too many. “Everyone is affected by higher health care costs,” said San Clemente Councilmember Chris Duncan. “We need to be working to expand Medicare coverage and lower premiums across the board as we move towards making sure every person gets the health care that they need.” You can watch the event here and view the post-event release here.

MAINE

Friday, December 20 – ACA Open Enrollment Event with State Senator Joseph Baldacci and Health Care Advocates: State Senator Joseph Baldacci, State Representative Anne Graham and Kate Ende Policy Director for Consumers for Affordable Health Care will join Protect Our Care Maine to discuss the urgent need for Congress to stop Republican premium hikes. The Affordable Care Act (ACA) open enrollment period runs through January 15, and Mainers will continue to save thousands of dollars on their health care thanks to the Inflation Reduction Act’s enhanced premium tax credits. As Congress continues to negotiate a health care package, new reporting indicates that Republicans have rejected Democrats’ proposal to extend the Inflation Reduction Act’s enhanced premium tax credits for one year. Republicans are working overtime to dole out more tax breaks to their wealthy friends on Wall Street. If these tax credits do expire, Republicans will own this premium hike for middle-class families and the coverage losses for millions that come with it.

MICHIGAN

Wednesday, December 11 — ACA Open Enrollment/ePTC Event with HHS Regional Director Michael Cabonargi and Health Care Advocates: HHS Regional Director Michael Cabonargi, senior policy analyst Amber Bellazaire and Ingham County Health Department Program Coordinator Mindy Smith joined Protect Our Care Michigan to highlight the benefits of ACA coverage and discuss what’s at stake for Michiganders if Republicans in Congress follow through with their plans to let enhanced premium tax credits expire at the end of 2025. HHS Regional Director Michael Cabonargi explained the benefits of enrolling in ACA coverage and how Americans can enroll in more expansive and affordable coverage than ever: “During current open enrollment, four in five consumers will be able to enroll in coverage for less than $10 per month, thanks to premium tax credits under the IRA. Right now, more than 14 million Americans save an average of $527 on monthly health insurance premiums thanks to the tax credits. Marketplace health coverage means people can access quality health care when they need it, not just when they can afford it.” You can watch the event here and view the post-event release here. 

  • CBS Detroit: Preview: HHS Regional Director to Join POC Michigan for Press Call on ACA and Risks of losing ePTCs (TVeyes clip)
  • Michigan Business Network: U.S. DHHS Regional Director Michael Cabonargi, Health Care Advocates Join Protect Our Care Michigan to Discuss ACA Open Enrollment Period

MINNESOTA

Wednesday, December 4th—ACA Open Enrollment Event with Congresswoman Angie Craig, MNsure CEO Libby Caulum and Health Care Advocates: Congresswoman Angie Craig, MNsure CEO Libby Caulum, and local resident Vicky Selin joined Protect Our Care Minnesota to discuss the urgent need for Congress to stop Republican premium hikes. The Affordable Care Act (ACA) open enrollment period runs through January 15, and Minnesotans will continue to save thousands of dollars on their health care thanks to the Inflation Reduction Act’s enhanced premium tax credits. “For far too long, Big Pharma’s price hikes and the egregious cost of health care in America has forced Minnesotans to make absolutely gut wrenching decisions about getting the healthcare that they need and deserve to survive and putting food on the table, in the richest country in the world. We should not have to make those decisions, but we’ve made incredible progress,” said U.S. Rep. Angie Craig. “Making these enhanced premium tax credits permanent is critical in our fight for more affordable health care.” You can watch the event here, and view the post-event release here.  

  • Red Lake Nation News: Congresswoman Angie Craig Joins Protect Our Care Minnesota to Discuss ACA Open Enrollment Period, and What’s At Stake if GOP Raises Costs by Letting Premium Tax Credits Expire
  • Star Tribune Editorial: Mad about the price of eggs? Wait ’til you see coming health coverage cost hikes.

NEVADA

Monday, December 9 – ACA Open Enrollment and ePTC Event with HHS Regional Director Jeffrey Reynoso and Health Care Advocates: U.S. HSS Region IX Director Dr. Jeffrey Reynoso, Katie Charleson with Nevada Health Link, For Our Future and Affordable Care Act (ACA) enrollee joined Protect Our Care Nevada to discuss the urgent need for Congress to stop Republican premium hikes. The Affordable Care Act (ACA) open enrollment period runs through January 15, and Nevadans will continue to save thousands of dollars on their health care thanks to the Inflation Reduction Act’s enhanced premium tax credits. “In 2024 over 99,000 Nevadans selected a plan through Healthcare.Gov,” said Director Reynoso. “I’m proud that health coverage enrollment has remained consistent at or near record levels during the entirety of the Biden Harris administration, a testament to our shared commitment with Nevada Health Link to strengthen and protect access.” You can watch the event here, and view the post-event release here.

  • Public News Service: Nevadans encouraged to look at health care options during open enrollment
  • KOLOTV: 97,000 Nevadans sign up for health insurance through Health Link
  • FOX5: 97,000 Nevadans sign up for health insurance through Health Link

NEW HAMPSHIRE

Thursday, December 19 – ACA Open Enrollment/ePTC Event with Covering New Hampshire Health Care Advocates: Covering New Hampshire executive director Jayme Simoes and health law professor Lucy Hodder joined Protect Our Care New Hampshire to promote the Affordable Care Act (ACA) open enrollment period and discuss what’s at stake for Granite Staters if they lose enhanced premium tax credits. “We cannot afford to go backwards any further on health care,” said Jayme Simoes, Covering New Hampshire. “There is just too much at stake. Like anything, health care requires certainty and leadership…With these tax credits, if we take them away, we throw everything into a huge question mark but we also throw people out of the system.” You can watch the event here, and view the post-event release here

NEW YORK

Tuesday, December 10 at 10AM ET—ACA Open Enrollment/EPTC Accountability Event with Former HHS Regional Director Dr. Dara Kass: Former Regional Director of the U.S. Department of Health and Human Services (HHS) Dara Kass joined Protect Our Care to promote the Affordable Care Act (ACA) open enrollment period and discuss the urgent need for Congress to stop Republican premium hikes. The ACA open enrollment period runs through January 15, allowing New Yorkers to continue to save thousands of dollars on healthcare through enhanced premium tax credits provided by the Inflation Reduction Act. As Congress continues to negotiate a health care package, new reporting indicates that Republicans have rejected Democrats’ proposal to extend the Inflation Reduction Act’s enhanced premium tax credits for one year. Republicans are working overtime to dole out more tax breaks to their wealthy friends on Wall Street. If these tax credits do expire, Republicans will own this premium hike for middle-class families and the coverage losses for millions that come with it. “Over a decade ago, the passage of the ACA was a transformative step in providing millions of Americans with affordable, accessible, and effective health insurance,” said Dara Kass, former Regional Director of the U.S. Department of Health and Human Services (HHS). “Affordability is achieved when premiums are set at levels families can realistically afford. Democrats have fought tirelessly to ensure that tax credits under the ACA and IRA continue to benefit countless New York families. However, if these provisions expire, an estimated 32,000 New Yorkers could see their premiums skyrocket, and 4,000 may lose their insurance entirely. We must do everything in our power to pressure Republicans in Congress and hold them accountable to the constituents whose coverage is at stake.” You can watch the event here, and view the post-event release here.

WEST VIRGINIA

Monday, Tuesday 6 — Charleston Gazette-Mail Op-Ed by Ellen Allen on Dangers of ACA Rollbacks and Losing ePTCs: Protect Our Care West Virginia placed an opinion piece in the Charleston Gazette-Mail by West Virginians for Affordable Health Care executive director Ellen Allen on the significant impacts that the ACA has provided for West Virginians and consequences that would come if its benefits were taken away. Allen warns of what might happen to West Virginians if Enhanced Premium Tax Credits (ePTCs) and Medicaid are no longer available: “It’s no secret that West Virginia is in perennial competition for the worst health outcomes in the nation. Stripping away the health care of 217,000 West Virginians will only set us back even further, making the long sought after generational advances in health improvements — especially in infant and maternal health — elusive.” You can read the full op-ed here

Thursday, December 12 — ACA Open Enrollment/ePTC Event with West Virginians for Affordable Health Care and Health Care Advocates: West Virginians for Affordable Health Care executive director Ellen Allen and storytellers Jesica Ice and Rusty Williams joined Protect Our Care West Virginia to discuss the urgent need for Congress to stop Republican premium hikes. The Affordable Care Act (ACA) open enrollment period runs through January 15, and West Virginians will continue to save thousands of dollars on their health care thanks to the Inflation Reduction Act’s enhanced premium tax credits. “What’s truly frustrating is that instead of prioritizing the needs of hardworking families, many Republican leaders continue to block action on this critical issue,” said Jessica Ice, consumer health storyteller. “They seem content to let these tax credits expire while pushing tax breaks for the wealthiest Americans and corporations, including drug and insurance companies.” You can watch the event here, and view the post-event release here

Protect Our Care Hosts Events in Maine and Alaska to Discuss ACA Open Enrollment Period and Urge Congress to Stop Premium Hikes

***MEDIA ADVISORY FOR FRIDAY, DECEMBER 20, 2024***

If Republicans Let Premium Tax Credits Expire, Health Care Costs Will Rise for Millions of Americans

Today, December 20th, 2024, Protect Our Care Maine and Alaska hold events with State Senator Joe Baldacci (D-ME-9), State Representatives Annie Graham (D-ME-105), Genevieve Mina (D-AK-19), and local advocates to discuss the urgent need for Congress to stop Republican premium hikes. The Affordable Care Act (ACA) open enrollment period runs through January 15, and people will continue to save thousands of dollars on their health care thanks to the Inflation Reduction Act’s enhanced premium tax credits. As Congress continues to negotiate a health care package, new reporting indicates that Republicans have rejected Democrats’ proposal to extend the Inflation Reduction Act’s enhanced premium tax credits for one year. Republicans are working overtime to dole out more tax breaks to their wealthy friends on Wall Street. If these tax credits do expire, Republicans will own this premium hike for middle-class families and the coverage losses for millions that come with it.

Thanks to these savings passed by the Biden-Harris administration and Democrats in Congress, over 62,000 enrolled in ACA Marketplace plans in 2024. But these tax credits are set to expire at the end of 2025. Millions of Americans are depending on lower premiums. According to a new report from the Center on Budget and Policy Priorities, if Congress does not take action to extend the Inflation Reduction Act’s savings, many will see their insurance premiums increase. Speakers will urge Congress to renew these tax credits so that Americans can continue to rely on these savings to remain insured and healthy. 

MAINE

WHO:
State Senator Joe Baldacci (D-ME-9)
State Representative Annie Graham (D-ME-105)
Kate Ende, Consumers for Affordable Health Care
Toby McGrath, Protect Our Care Maine

WHAT: Virtual Press Conference

WHERE: Register for the Zoom here [Registration required]

WHEN: Friday, December 20 at 2:00 PM ET

ALASKA

WHO:
State Representative Genevieve Mina (D-AK-19)
Stephanie Bergstrom, Lifelong Alaskan enrolled in the Open Market
Amber Lee, Protect Our Care Alaska

WHAT: Virtual Press Conference

WHERE: Register for the Zoom here [Registration required]

WHEN: Friday, December 20, at 11:30 AM AKST // 3:30 PM ET