Commerce, Justice, Science; Energy and Water Development; and Interior and Environment Appropriations Act, 2026

Floor Speech

Date: Jan. 14, 2026
Location: Washington, DC

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Mrs. SHAHEEN. Mr. President, I come to the floor today to join Leader Schumer and others in requesting that this body address the healthcare disaster that is facing millions of American families. It is a disaster, sadly, that we have seen coming for more than a year. And if we are serious about protecting both the physical and financial health of Americans, we must restore the enhanced premium tax credits that expired on December 31.

Congress has not fulfilled its duty to protect Americans from rising healthcare costs. And at a time when so many Americans are worried about the cost of living, inaction is causing health insurance premiums to skyrocket for millions of Americans. More than 22 million Americans have already been affected by the expiration of the enhanced premium tax credits.

The Centers for Medicare and Medicaid Services reported earlier this week that more than 1.4 million people, including tens of thousands in New Hampshire, have already lost their healthcare coverage because of the unaffordable cost increases of healthcare premiums without the enhanced premium tax credits. And unfortunately, that is just the beginning. Insurers have told us higher prices and more losses are coming, as families realize they can't continue to pay their monthly premiums. The Urban Institute predicted almost 5 million people could lose their healthcare coverage. Families are being forced to reduce the quality of their coverage, and they are facing higher out-of-pocket costs.

Back in October, one of my constituents from New Boston, NH, Darla, contacted me with serious concerns about whether she and her husband would be able to afford healthcare coverage without the enhanced premium tax credits. This is what is so disturbing.

Last month, she reported that her family's monthly premium would go from $100 a month to $1,200 a month, so more than $15,000 a year. She and her husband can't afford that kind of an increase. They are in their fifties; so they can't afford to go without healthcare coverage.

If we fail to act, we have failed Darla's family and millions of other Americans.

The crisis was avoidable. We knew that this would happen if the enhanced premium tax credits expired.

One year ago, on January 9, I introduced the Health Care Affordability Act, which would have made the enhanced premium tax credits permanent. There are 44 Democratic cosponsors on my bill.

Last week, we saw the House pass an extension with strong bipartisan support, and I applaud all those Members of the House who supported that 3-year extension and who worked hard to make it bipartisan.

I know many of our Republican colleagues agree that we need to restore the enhanced premium tax credits so people like Darla and her family can afford healthcare coverage. They know that Americans want Congress to act to bring down costs. And what Leader Schumer asked for today is straightforward: that the Senate allow an immediate extension of the enhanced premium tax credits to move forward without delay.

I am not surprised at the objection because we saw what the vote was back in December on extending the premium tax credits in this body.

I am hopeful that the bipartisan efforts that have been ongoing to try and find a compromise to address some of the reforms that Senator Crapo referenced, but also to ensure that we can, both, lower the cost of healthcare and make sure we don't have millions of families who lose their health insurance--I am hopeful that bipartisan effort can continue, that we can reach a compromise, and that we can do what is in the best interest of the people of this country and the millions of Americans who are faced with losing their health insurance coverage.

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