ASA Supports Extension of ACA Tax Credits

On September 15, 2025, the American Society of Anesthesiologists (ASA) joined over 90 national and state medical organizations in urging Congress to extend the enhanced Advance Premium Tax Credits (APTCs). While opportunities exist for targeted reforms to the APTC program, these credits help over 24 million Americans afford coverage through the Health Insurance Marketplaces in 2025. Without congressional action, it is projected that 4.2 million people will lose coverage entirely, and families will face steep premium hikes and out of pockets expenses —a family of four earning $64,000 could pay $2,600 more annually, while a 60-year-old couple earning $80,000 could see a $17,500 increase.

The ASA’s support underscores the importance of maintaining access to affordable insurance—not only for patients, but also for the physicians who care for them. Anesthesiologists are better able to deliver timely, coordinated, and comprehensive care when patients are insured. Insurance facilitates access to preoperative evaluations, postoperative follow-ups, and necessary treatments, reducing delays and complications. In contrast, caring for uninsured individuals often involves fragmented care, higher rates of untreated comorbidities, and increased financial strain on both patients and physician practices. Extending enhanced APTCs is a critical step toward preserving the integrity of care delivery and ensuring anesthesiologists can continue to provide high-quality care in a sustainable system.