About 130,000 Alabamians at risk of losing health care without ACA tax credits

Two protesters holding signs that read “Cuts to Medicaid are policy murder!” at the Alabama Poor People’s Campaign Moral Monday protest on Sept. 29, 2025, on the front steps of the Alabama State Capitol in Montgomery, Alabama. About 130,000 Alabamians could lose health care coverage or pay significantly higher premiums at the start of 2026 after Congress failed to pass an extension on tax credits for Affordable Care Act (ACA) plans last week. (Anna Barrett/Alabama Reflector)

About 130,000 Alabamians could lose health care coverage or pay significantly higher premiums at the start of 2026 after Congress failed to pass an extension on tax credits for Affordable Care Act (ACA) plans last week.

Theresa Lau, senior policy counsel for the Southern Policy Law Center (SPLC), said in an interview Monday that about 446,000 Alabamians, nearly all of the state’s ACA enrollees, qualify for an enhanced premium tax credit. The tax credits do not have an income cap, but Lau said that enrollees that fall on the lower end benefit the most from the tax credits…

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