The Affordable Care Act (ACA) has provided affordable health insurance to millions of Americans who would otherwise be uninsured. Allowing the premium tax credits to expire at the end of 2025 would cause 4.2 million people to lose coverage by 2034, according to the nonpartisan Congressional Budget Office (CBO). Additionally, the Trump administration's proposed "Marketplace Integrity and Affordability Rule" would further reduce access by increasing out-of-pocket costs, shortening open enrollment periods, and prohibiting DACA recipients from purchasing ACA plans - leading to another 1.8 million people losing coverage. Preserving healthcare access is crucial, which is why the ACA tax credits must be extended and the harmful rule changes rejected in the Senate's budget reconciliation bill. Stripping healthcare from millions is both inhumane and fiscally irresponsible, as the CBO estimates H.R. 1 will balloon deficits by $2.4 trillion over a decade. Prioritize people over profits by safeguarding the ACA's affordability provisions.