Commentary: For 350,000 Virginians, health care may soon disappear

OpEd

Over the years, we have watched the commonwealth make tremendous strides in expanding access to affordable, quality health care. With the help of the federal government, we’ve expanded Medicaid coverage, established our own state health insurance marketplace, and hundreds of thousands of Virginians have been able to afford health insurance through the enhanced premium tax credits (EPTC).

But today, these hard-won gains are under attack.

If Congress does not extend the tax credits during the September budget negotiations, they are going to expire at the end of 2025. These tax credits lower monthly premiums for marketplace insurance under the Affordable Care Act, and without them health care costs will skyrocket.

The higher costs resulting from the expiration of the EPTC may be insurmountable for many Virginians, as costs remain high and budgets are stretched thin. An average family of four in Virginia would see an estimated 43% increase in their annual premiums. For many, that extra cost will become a choice between health insurance and other basic needs like rent, food or utilities.

All in all, 350,000 working Virginians and their families who rely on these credits are at risk of losing insurance because their coverage was made unaffordable.

The impact will also ripple throughout the state economy, costing $253.7 million in state GDP and cutting 2,000 jobs for hardworking residents. Many of these jobs will bleed from our rural communities across the Shenandoah Valley and Eastern, Southwest and Southside Virginia, where so many individuals are already underserved and lack access to the care they need.

With hundreds of thousands of people no longer insured, hospitals and other providers will have to account for large increases in uncompensated care. Our rural hospitals and community providers are already operating on thin margins, and many won’t survive this blow. In this way, the effects of the EPTC expiration will affect not only those Virginians who currently receive them, but also their neighbors with private, employer-sponsored insurance who no longer have a hospital in their community to rely on.

These are not issues that Americans are taking lightly — and neither should our representatives. In a recent survey, nearly half of voters said they would be less likely to vote for their member of Congress if they oppose extending the health care tax credit. A poll from Trump’s own pollster, Tony Fabrizio, shows that not only do 9 in 10 Democratic voters support extending the EPTC, but so do more than two-thirds of Trump voters and nearly three-fourths of swing voters.

An issue with such broad-based support is hard to find in today’s political climate, but this one clearly cuts across political lines and hits home for voters. Our representatives should follow Virginia Sen. Mark Warner’s lead this September and work to preserve the progress we’ve made in expanding essential care to more families by extending the EPTC.

If the price of allowing EPTCs to expire seems scary, that’s because it is. Just like the stakes for Virginians, the choice facing legislators when they return in September is also clear: We can either invest in the health and well-being of our communities, or we can watch as millions lose their coverage, our local economies falter, and our health care system crumbles.

Beth O’Connor is executive director of the Virginia Rural Health Association; Doug Gray is executive director of the Virginia Association of Health Plans; the Rev. Cozy Bailey is president of the NAACP Virginia State Conference; and Jim Dau is state director of AARP Virginia. Contact the authors at contact@americanscovered.org.

 

All in all, 350,000 working Virginians and their families who rely on these credits are at risk of losing insurance.