ACLU Responds to Senate Vote to Strip Life-Saving Health Care from Millions

The bill (S. 3386) would ban payments for abortion coverage, limit access to care for transgender people, and create coverage barriers for immigrant communities

December 11, 2025 11:03 am

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WASHINGTON 鈥 Today, instead of addressing the massive premium increases about to hit families nationwide due to expiring Affordable Care Act (ACA) subsidies, the Senate majority is pushing for new federal restrictions on abortion coverage in private insurance plans, to decimate access to gender affirming care, and to erect additional hurdles to health care for immigrants.

The bill has been offered as an alternative to renewing tax credits to make health insurance affordable for more than 22 million people. In addition to not adequately addressing the looming health care affordability crisis, it would prohibit millions of people who get health insurance through the ACA from paying for private plans that include abortion coverage, which will dissuade private insurance coverage of abortion and push abortion care out of reach for people across the country, including in states where it is legal.

The bill would also prohibit people on exchange plans, Medicaid, and CHIP from accessing gender-affirming medical care and add complicated hurdles for immigrants to access Medicaid coverage, including penalizing states that use their own money to cover health care costs for those who are excluded from Medicaid. Under these provisions, millions of eligible people could have essential care denied or delayed, including those who are part of mixed status families or citizens who simply fear being exposed to overzealous immigration enforcement.

In response to the Senate鈥檚 upcoming vote on S.3386, 老熟女午夜福利 National Director of Policy & Government Affairs Mike Zamore released the following statement:

鈥淭oday, instead of acting to prevent massive health premiums hikes in three weeks, the Senate majority is working to make the health crisis even worse for families across the country by stripping the coverage of life-saving care in order to pursue their ideological agenda. Instead of lowering costs, the bill would prevent people from accessing abortion through ACA health care coverage, block access to medically necessary gender affirming care, and punish states for trying to extend coverage to their uninsured residents.

鈥淎 serious solution is still needed to address expiring ACA tax credits without sacrificing people鈥檚 access to essential health care services. The Trump administration and the congressional majority must stop playing political games with the health care of the American people before millions see their premiums skyrocket and their quality of care drastically decline.鈥

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