Press Releases
CONGRESSWOMAN PLASKETT STATEMENT ON HOUSE PASSAGE OF AFFORDABLE CARE ACT ENHANCED TAX CREDIT EXTENSION
Washington, DC,
January 10, 2026
For Immediate Release Contact: Tionee Scotland PRESS RELEASE CONGRESSWOMAN PLASKETT STATEMENT ON HOUSE PASSAGE OF AFFORDABLE CARE ACT ENHANCED TAX CREDIT EXTENSION Washington, D.C.— Congresswoman Stacey E. Plaskett (D-VI) released the following statement after the U.S. House of Representatives voted to extend for three years the Affordable Care Act (ACA) enhanced premium tax credits that expired on January 1, 2026: “This week, as a member of the House Committee on Ways and Means, I spoke on the House floor in defense of affordable healthcare for all Americans during debate on the three-year extension of ACA enhanced premium tax credits (view remarks here). The Virgin Islands and other territories, which have never had access to ACA Exchanges, reveal a clear picture of what happens without these critical benefits. “The Virgin Islands healthcare system is in crisis. Our hospitals operate under outdated Medicare formulas from 1982 and 1996, and face chronic shortages of supplies, medications, equipment, and staff—forcing patients to bring their own sheets and diapers to the hospital and doctors to pool personal funds to pay vendors. Hospital funding gaps exceed $34 million annually. More than 3,000 Virgin Islanders lost Medicaid coverage when supplemental funding ended, dramatically increasing the uncompensated care burden on our already struggling system. In Puerto Rico, similar Medicaid funding caps forced reliance on borrowing and debt that contributed to their 2017 bankruptcy. These territorial healthcare crises stem directly from inadequate federal support. “Nationally, the expiration of enhanced premium tax credits has already doubled healthcare costs for 20 million Americans. When millions lose affordable coverage, the impact ripples across the entire healthcare system. Uninsured individuals turn to emergency rooms for basic care, driving up costs that are absorbed through higher premiums and hospital charges for everyone—even those with employer-sponsored insurance. This system-wide strain means all Americans pay more for healthcare, regardless of where they get their coverage. “Seventeen House Republicans joined Democrats in voting for this extension yesterday, demonstrating bipartisan recognition that this is a healthcare crisis, not a partisan issue. More than 90% of Marketplace enrollees rely on these enhanced premium tax credits—without the extension, families across America are forced to choose between seeing a doctor or paying rent, between filling prescriptions or putting food on the table. The Senate must now prioritize the well-being of the American people over partisan politics and send this commonsense, bipartisan extension to the President's desk. "My commitment to ensuring healthcare equity for the Virgin Islands and all U.S. territories in federal programs, including Medicaid, Medicare, and SSI, remains unwavering. When the Affordable Care Act was enacted, the U.S. Virgin Islands elected to receive a lump sum Medicaid allotment rather than establish an ACA health exchange, a decision driven by the prohibitively high cost and overwhelming administrative and regulatory burdens that made marketplace creation unfeasible for all U.S. territories. I continue to advocate for policy changes that would allow territorial residents without employer-provided health insurance to access coverage through the Washington, DC Exchange (DC Health Link), with standard reimbursement for premium tax credits. This critical option would ensure access to comprehensive healthcare coverage where ACA Marketplaces do not exist and address a critical gap in the U.S. territories' healthcare system.” ### |