[Congressional Record Volume 171, Number 207 (Tuesday, December 9, 2025)]
[House]
[Pages H5105-H5108]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]




                 RESTORING ENHANCED PREMIUM TAX CREDITS

  (Under the Speaker's announced policy of January 3, 2025, Ms. 
McClellan of Virginia was recognized for 60 minutes as the designee of 
the minority leader.)


                             General Leave

  Ms. McCLELLAN. Mr. Speaker, I ask unanimous consent that all Members 
may have 5 legislative days to revise and extend their remarks and 
include extraneous material on the subject of this Special Order.
  The SPEAKER pro tempore. Is there objection to the request of the 
gentlewoman from Virginia?
  There was no objection.
  Ms. McCLELLAN. Mr. Speaker, it is with great honor that I rise today 
for the third week in a row to anchor the Congressional Black Caucus' 
Special Order hour to tell stories of people who stand to lose their 
health insurance if Congress does not act in 22 days.
  Mr. Speaker, 22 days. We have 22 days to prevent at least 5 million 
people from losing their health insurance.
  For the past 3 weeks, the Congressional Black Caucus has brought 
stories of the 22 million people who will see their health insurance 
premiums double or even triple and, for some, spike beyond their 
ability to pay when enhanced premium tax credits expire in 22 days. An 
estimated 5 million people will lose their health insurance because 
they can't afford these new premiums. The Congressional Black Caucus 
has told stories of people concerned that they will be among those 5 
million.
  Mr. Speaker, I have good news. This Thursday, the Senate will have 
two competing plans on the floor for a vote. Yet, Speaker Johnson still 
has not committed to allowing a vote on the floor in this body.
  Leader Jeffries has a discharge petition open right now to extend the 
tax credits, and we just need four Republicans to join us in signing 
it.
  House Democrats have come forward with a plan. Senate Democrats have 
come forward with a plan. Senate Republicans have come forward with a 
plan. The administration still doesn't seem to have a concept of a 
plan, but we have 22 days where the American people are expecting us to 
act.
  Mr. Speaker, I will begin this Special Order hour by yielding to the 
chair of the Congressional Black Caucus, Chair Yvette Clarke of New 
York.

                              {time}  1940

  Ms. CLARKE of New York. Mr. Speaker, I thank the gentlewoman from 
Virginia for her hard work and dedication in anchoring the Special 
Order hour of the Congressional Black Caucus for 3 consecutive weeks, 
as she has rightly stated. We are so proud of the work she is doing to 
uplift the stories of people across this Nation who are standing on the 
edge of what could be catastrophic in terms of healthcare.
  Mr. Speaker, good evening, I am Representative Yvette D. Clarke, 
chair of the Congressional Black Caucus, proudly representing New 
York's Ninth Congressional District, which is located in central and 
southwest Brooklyn.
  I thank my colleague once again, Congresswoman Jennifer McClellan, 
for anchoring this Congressional Black Caucus Special Order hour.
  I rise tonight, Mr. Speaker, with my colleagues of the Congressional 
Black Caucus to bring awareness to the fast approaching ACA tax credit 
funding deadline and to give voice to everyday Americans who will be 
harmed by the Republican-led healthcare crisis. The enhanced ACA tax 
credits are set to expire on December 31 unless congressional 
Republicans join Democrats to extend them.
  In a few short weeks, millions of Americans will be forced to pay 
astronomical prices for their health insurance. Many will lose coverage 
altogether because they will not be able to afford it.

[[Page H5106]]

  I want to share the story of a constituent who lives in my district 
in Brooklyn, a woman who wants to work, who does work, and who 
contributes to her community every single day.
  Denise, of Prospect Lefferts Gardens, is self-employed. She is a 
graphic designer. She also lives with lupus, a serious autoimmune 
condition that requires consistent care and access to specialists. The 
only reason she has been able to stay in the workforce is because of 
the Affordable Care Act, and specifically the enhanced premium tax 
credits that have made quality health insurance something she could 
actually afford.
  Those credits lowered her monthly premium enough so that she could 
manage her health, pay her rent, and keep her small business going. 
However, now she is being told that if these enhanced credits expire, 
her premium could double.
  When she found out that her healthcare costs could become 
unaffordable, she said: ``The only reason I can work at all is because 
I can manage my lupus with regular care. I can't pay New York City 
rent, pay those premiums, and keep my business going. It feels like 
Congress is telling disabled people, don't work, go back on full 
benefits.''
  Mr. Speaker, doubling someone's premium doesn't just strain a budget, 
it changes a life. It forces people to give up work. It pushes people 
with disabilities out of the workforce. It tells them that independence 
is a luxury that they can't afford.
  My constituent does not want to stop working. She does not want to 
give up, but if Congress allows these credits to expire, we are 
effectively telling her and millions like her that staying insured and 
staying employed are no longer compatible choices. That is wrong. It is 
within our power to prevent it.
  All 214 Democrats have signed a discharge petition that will extend 
the Affordable Care Act tax credits for 3 years. All we need are four 
Republicans who are willing to join us in protecting our Nation's 
healthcare.
  Allowing these tax credits to expire is, indeed, a choice, and it is 
the wrong choice. Our communities are counting on us to do the right 
thing and to put their needs over politics. It is people over politics.
  Ms. McCLELLAN. Mr. Speaker, I thank our chair for her tireless 
efforts to fight for our constituents who have found their healthcare 
costs going up along with the cost of everything else.

  I yield to the former chair of the Congressional Black Caucus, the 
gentlewoman from Ohio's Third District, Representative Joyce Beatty.
  Mrs. BEATTY. Mr. Speaker, let me first say thank you to my colleague 
from Virginia, Congresswoman Jennifer McClellan, for yielding to me and 
for leading this Special Order hour. I also thank our chairwoman, 
Congresswoman Yvette Clarke from Brooklyn, New York.
  You heard her as she came to the floor, Mr. Speaker, sharing with us 
the value, the importance of why we are here tonight. You have also 
heard it, not just tonight but for weeks, we have come to this floor.
  Mr. Speaker, the question you should ask yourself is: Why are we 
here? Why are we standing here and telling these stories? These are 
stories that I am sure people in your district and your colleagues have 
heard also.
  Well, we come tonight because we want America to know how important 
our work is, but more importantly, we want America to know that 
Democrats are standing up for them. We are united in this single cause 
because it is our top priority.
  Tonight, we share the stories of our constituents. We do it as a 
reminder that others turn away from the struggle, but the Congressional 
Black Caucus leans in, standing in the gap for families who can't 
afford for Congress to look the other direction.
  Mr. Speaker, I rise to share the human cost of allowing the 
Affordable Care Act healthcare tax credits to expire. I rise on behalf 
of the families of the Third Congressional District that I serve in the 
great State of Ohio.
  I rise on behalf of the families across this Nation. I rise on behalf 
of the 18-plus million Black Americans that the members of the 
Congressional Black Caucus serve.
  Mr. Speaker, I also rise on behalf of the 82 million Americans that 
the Congressional Black Caucus serves. Families, Mr. Speaker, who sit 
at the kitchen table late at night wondering which bill they can pay 
and which bill must wait.
  If Congress fails to act, 35,000 people in my district will see their 
healthcare costs rise. Let me just give you an example. For a 60-year-
old couple, earning $85,600, annual premiums will rise by almost 300 
percent. It is unthinkable.
  Mr. Speaker, 15,000 people in my district will lose their healthcare 
altogether because of Republicans' refusal to extend the tax credits. 
Small businesses make up 48 percent of the ACA marketplace consumers.
  I have heard colleagues on both sides of the aisle talk about how it 
is the small business owners who are the economic engines that make 
this America work. They are the backbone of communities, communities 
like my community in the Third Congressional District.
  If I could go back and remind you, Mr. Speaker, and all those who are 
listening, it was the Democrats with our American Rescue Plan who 
expanded the promise of the Affordable Care Act to make healthcare more 
affordable. I could take you back to 1965, Mr. Speaker, when then, too, 
we were dealing with healthcare, and it was the government body that 
came up with Medicaid and Medicare to make sure that we protected the 
American people and provided not just for the wealthy, but for all, for 
the least of us.
  Tonight, I want to put a face on it, Mr. Speaker. I want to lift up 
two Ohioans who put names to these numbers. You see, it is not about 
the politics, as our chairwoman said. It is about people. It is about 
everyday people.

                              {time}  1950

  Let me tell you the story of Tracie, a small business owner, who 
wrote that her family's premiums have tripled. Before the tax credit, 
they were paying over $1,000 a month just to stay insured. With two 
children in college, she wrote: Our family relies on these subsidies 
just to support our students and pay our bills. We don't live 
extravagantly. Please, Congresswoman, keep fighting for us.
  Let me tell you the story of Mark, a 60-year-old husband and a part-
time worker. He told me his ACA premiums will rise $11,000 in 2026. He 
may have to return to full-time work out of fear that he and his wife 
will be left without healthcare.
  Mr. Speaker, I could tell you story after story and put a face on it. 
I could tell you the stories from across this wonderful America that we 
live in. We all have stories.
  Healthcare is not about Democrats and Republicans. It is about 
people. Tonight, we come to this Chamber, to this floor, the House of 
the people, to share with you the stories because we want hope. We want 
to provide hope to the American people. We want to be able to tell them 
that they don't stand alone. We want to be able to tell them that we 
really believe that we can make a difference, that we can provide 
affordable, quality healthcare for everyday people.
  Mr. Speaker, Democrats stood united, as you know, for more than 40 
days during the Republican-caused shutdown to prevent this, but here we 
are. Republicans refuse to negotiate.
  Healthcare, Mr. Speaker, is a lifeline for families who have upheld 
their end of the bargain even when Republican policies have not upheld 
theirs.
  Mr. Speaker, my ask is very simple, and here it is: Congress must 
act. Congress must restore these tax credits and protect affordable 
healthcare.
  Mr. Speaker, I guess the question really is, what do we say to that 
family? What is the answer that we say that we cannot negotiate? What 
is the answer that we say to them that we cannot bring it to this 
floor? What is it that you would like me to say to the American people? 
What is it my colleagues on the other side that don't stand united with 
us for the people want me to say to the American people? I guess that 
is why week after week after week, we come to this floor for Special 
Order hours.
  Mr. Speaker, I want you to know how important this is that we go out 
into our districts and because we know people are making a decision 
between healthcare, feeding their families, and putting a roof over 
their head. I could

[[Page H5107]]

tell you the stories of my colleagues. I could tell you the stories of 
colleagues who have gone into hospitals and healthcare clinics and 
volunteered services. I can tell you that I have bagged and boxed food 
for people. I have contributed, like many of my colleagues, to make 
sure that when people have to pay for their healthcare and they are 
trying to decide if they can buy groceries that we are coming to their 
rescue.
  Tonight, I end with asking you not to come to our rescue as Democrats 
but come to the rescue of the American people, and let us make a 
difference by negotiating and having an American healthcare plan that 
will make sure that all individuals can have affordable healthcare.
  Mr. Speaker, I thank my colleague for this Special Order hour. I 
thank her for her brilliance and her tenacity that she comes here and 
stands and tells the stories and leads us so hopefully we will be able 
to make a difference.
  Ms. McCLELLAN. Mr. Speaker, I thank Congresswoman Beatty for her 
remarks.
  Mr. Speaker, earlier today, Punchbowl News reported that Speaker 
Johnson is planning a long process to fix healthcare. The Speaker says 
he anticipates working on healthcare through the second quarter of the 
year and have a vote in the first quarter or the second quarter. He 
acknowledges that there is a lot to fix in healthcare.
  Mr. Speaker, open enrollment ends on January 15. The new premiums, 
without the enhanced premium tax credits, take effect for 22 million 
Americans on January 1. Do you know who can't wait 6 months for a 
healthcare fix? The 5 million Americans who are estimated to find they 
can no longer afford their health insurance premiums when the premium 
goes up.
  I don't understand the priorities that Congress focused on this year. 
I really don't. I don't understand how under H.R. 1, which I call the 
big, ugly bill, Congress bent over backward, congressional Republicans 
specifically, bent over backward to provide permanent tax breaks for 
people who make over $500,000 a year, such as a permanent $15 million 
gift or estate tax break or a tax break for buying an airplane, but for 
people who make $64,000 a year or a family of four who makes just over 
$129,000 a year, congressional Republicans just expect them to absorb 
health insurance premiums that will double or triple.
  In my district, that family of four earning just over $129,000 a year 
will see their premiums increase by $4,675. A 60-year-old couple 
earning $82,800 a year will see their premiums increase by $11,968.
  My State legislators have predicted at least 60,000 Virginians will 
have to cancel their insurance coverage. Who are some of these people?
  We have heard stories, at least under the Medicaid cut debate, we 
heard Speaker Johnson say, well, these are young men who are living in 
their parents' basement playing video games. Who are we talking about? 
Who are these families who are going to see their health insurance 
premiums spike? They are restaurateurs, beauticians, landscapers, 
mediators, chiropractors, funeral directors, farmers, freelancers, 
contractors, and gig workers. They are the ones caught in the cross 
fire of a political battle that has now reached a stalemate.
  Roughly, half of the adults covered under the Affordable Care Act, 
about 10 million people, are small business owners, their employees, or 
the self-employed, according to KFF. One of them lives in my district. 
Well, one of the businesses is in my district. There are several people 
who work there.
  Lester Johnson and his wife, Yolanda, own and run Mama J's, which is 
a very good--I highly recommend it--southern cooking, soul food 
restaurant in my district in Jackson Ward, which was once known as the 
Harlem of the South. I talked to Lester and he said: It is a lot of 
gamesmanship, and the people are like the pawns.
  Lester and his wife and his daughter rely on the Affordable Care Act. 
They pay right now about $700 a month. He looked at his bill and his 
bill would go up more than $1,400 if he loses the tax credit.
  He has about 40 employees and they will see their premiums spike, as 
well. It is a lot of money for people, Lester said, and not knowing 
what the price is going to be because of a stalemate in Congress adds 
uncertainty. I think everybody is feeling the anxiety.
  Who else can't wait for 6 months?

                              {time}  2000

  Who else can't wait for 6 months? A lot of people who rely on the 
Affordable Care Act live in States that voted for the current 
President, or people who voted for the current President, or live in 
red districts, like Reagan Fisher Wyssbrod from Salem, Virginia, who 
works three part-time jobs to help support her family while keeping the 
flexibility she needs for her children. She spends some days as a 
substitute teacher and as a business manager for a library association. 
She does some bookkeeping on the side. None of these jobs offers 
benefits.
  Her projected monthly premium increased by $400, raising her monthly 
out-of-pocket costs to $1,900, and her doctor moved out of network. It 
is astonishing, she said. She spent 3 weeks combing through plans and 
eventually found one that would save her family about $100 a month, 
bringing her premium down to $1,800, but the deductible is a lot 
higher. Worst case scenario, her out-of-pocket costs would be $20,000 
on top of the monthly premium.
  She said, ``Ultimately, it came down to: I don't go to the doctor 
that often. My kids don't go to the doctor that often. And so, we just 
rolled the dice. We will wrap some bubble wrap around us, I guess.''
  Bubble wrap is not going to help if she has a heart attack. Bubble 
wrap is not going to help if she is in a car accident. Bubble wrap is 
not going to help those mothers of premature babies who spend, on 
average, $70,000 a day in a NICU stay.
  Victoria Cassels, an accountant in Roanoke, worries about her adult 
daughter in Richmond, who is a self-employed graphic designer with an 
autoimmune disease.
  This year, her monthly premium rose by $400, about three times higher 
than it was last year. She plans to help her daughter cover the cost if 
she can't take on enough work to meet the new expenses.
  Cassels, who prepares taxes for individuals and small businesses, 
says that more of her younger clients are talking about dropping health 
insurance altogether. In the last few years, she has had a slew of 
clients in their twenties and thirties who have started their own 
business. They are just getting started in life. They don't have the 
savings to afford the increasing cost of health insurance. They are 
probably going to have to put off starting a family because, without 
health insurance, being pregnant and childbirth are pretty expensive, 
even with insurance.
  Ben Pearman, a financial adviser from Bent Mountain in Roanoke 
County, also runs his own business. Higher monthly costs have led him 
to reconsider his options. A single man in his fifties, he pays for his 
own health plan, and next year, his monthly premium will jump from $724 
to $935. He can absorb the higher cost but is considering switching to 
concierge care that will let him pay a flat monthly rate or an annual 
fee. If he did that, he wouldn't have insurance if an accident 
happened. Accidents happen.
  I remember one such accident when my son, just before his third 
birthday, grabbed my curling iron and burned his hand. This was a 
Saturday. After a trip to the emergency room--we were in a rural county 
that didn't have a burn unit--they said: Well, you can either go home 
to Richmond, a 3-hour drive, and on Saturday there is a burn clinic, 
and they can take him then, or we can see if we can get him admitted to 
the hospital tonight.
  I said we were going to see if we could get him admitted because I 
had health insurance, and I knew the health insurance would cover it. 
If I didn't have health insurance, I probably would have had to wait 
for that burn clinic 3 days later, and his second-degree burn probably 
would have gotten infected.
  We took the ambulance ride, and we got to the hospital. After that 
and a week in the burn unit, the total cost of that bill--and this is 
in 2013, so you know the prices have gone up--that entire bill was 
$15,000.
  I had employer-provided insurance, so I paid $1,000. Imagine if I was 
one of these families that said that I am just going to wrap myself in 
bubble wrap or

[[Page H5108]]

roll the dice and see what happens. $15,000 is a lot of money.
  These are just a few of the stories of people who right now are 
struggling to figure out which bill they are going to pay. They are 
counting on us to help them.
  Being a history maker who is also a history nerd, I have to tell a 
little history right now. My parents grew up during the Depression, and 
my father was born in 1925. He would have been 100 years old in 
September. He was just old enough to remember when the stock market 
crash happened. He didn't know what was going on. He was 4.
  He remembered how his father one day owned an apartment complex, a 
newspaper, and a nightclub, and the next day lost everything due to 
circumstances outside of his control. He also remembered and told us 
the story about the stress that put on his parents.
  A few years later, in 1934, his mother died from cancer when he was 
10 years old. My dad went to Alabama to live with his grandparents, who 
founded a school. Because the State of Alabama didn't think it was 
important enough to educate Black children, his grandparents started a 
school.
  My dad saw the best of government and the worst of government. He saw 
the worst of government through Jim Crow. He saw the best of government 
when Congress and the President, through the New Deal, responded to the 
Great Depression, responded to people who, through no fault of their 
own, were economically devastated.
  My mother was born in the middle of the Depression, so she never knew 
anything other than poverty. She also experienced the best of 
government through the New Deal and the worst of government through Jim 
Crow.
  Telling me these stories, I came to understand that, at its best, 
government is a force that helps people and solves problems, especially 
when those problems are due to factors beyond their control and the 
solutions are beyond their reach. That is the best of government. The 
worst of government is when a few benefit from the oppression of the 
many.
  We just commemorated the D-day anniversary, a little bit later than 
the Depression, or as we were coming out of the Depression. There are 
only 12 people left who survived that. There are very few people alive 
today who remember the Great Depression. There are very few people 
today who remember when the United States Government lived up to its 
better nature and reached out, not to give a handout, but a hand up, to 
millions of Americans who, in the blink of an eye, lost everything and 
couldn't feed their families.

                              {time}  2010

  Mr. Speaker, my father was also a pastor. I can't help but think of 
him without thinking of Matthew 25:31-40. This is the story of the 
sheep and the goats, and this is what Jesus talks about.
  ``When the Son of Man comes in his glory, and all the angels with 
him, he will sit on his glorious throne. All the Nations will be 
gathered before him, and he will separate the people one from another 
as a shepherd separates the sheep from the goats. He will put the sheep 
on his right and the goats on his left.
  Then the king will say to those on his right: Come you, who are 
blessed by my Father; take your inheritance, the kingdom prepared for 
you since the creation of the world.
  For I was hungry and you gave me something to eat. I was thirsty and 
you gave me something to drink. I was a stranger, and you invited me 
in. I needed clothes, and you clothed me. I was sick, and you looked 
after me. I was in prison and you visited me.
  And the righteous will say: Lord, when did we see you hungry and feed 
you, or thirsty and give you something to drink? When did we see you a 
stranger and invite you in, or you needing clothes and we clothed you? 
When did we see you sick or in prison and go to visit you?
  The king will reply: Truly, I tell you, whatever you did for the 
least of these, you did for me.''
  Mr. Speaker, there are a lot of people in this country who are 
hungry, who are sick, who are unhoused, who are strangers, and who are 
imprisoned.
  This year, Congress basically said folks are on their own. This year, 
Congress basically said that we will make it harder for folks to eat. 
We will make it harder for people to get the care that they need.
  The President of the United States fought all the way to the Supreme 
Court to keep from feeding hungry children with money that Congress 
appropriated for that purpose in the event of a shutdown.
  We passed legislation that will strip an estimated 17 million 
Americans of their health insurance at a time when Americans are 
looking to us to help them and solve problems.
  The Affordable Care Act is not perfect. Do we really want to tell 22 
million people that because Congress cannot stop playing political 
football with their lives, they have to gamble with whether or not they 
pay their health insurance bill when it is priced out of their reach?
  They are expecting us to act. We have 22 days. Whether it is Leader 
Jeffries's discharge petition or whether it is one of the bills on the 
floor of the Senate, we have 22 days to act. We have 22 days to at 
least say we will make sure that for the next year or 2 years or 
however many we can, until this magical concept of a plan appears for 
us to vote on, we will help them a little bit to at least pay for their 
health insurance right now so they don't have to rely on bubble wrap or 
a wing and a prayer.
  Mr. Speaker, I yield back the balance of my time.

                          ____________________