Congress is set to vote on two plans regarding the Affordable Care Act (ACA) premium tax credits that are scheduled to expire Dec. 31, 2025. / Credit: usarmyband, CC BY 4.0, via Wikimedia Commons
Washington, D.C. Newsroom, Dec 11, 2025 / 06:30 am (CNA).
Congress is set to vote on two plans regarding the Affordable Care Act (ACA) premium tax credits that are scheduled to expire Dec. 31, 2025.
The Senate is expected to vote Dec. 11 on a Democratic proposal to extend existing ACA tax credits for three years, as 24 million Americans use ACA marketplaces for health insurance.
Senate Majority Leader John Thune, R-South Dakota, told reporters Tuesday after a Senate Republican meeting that lawmakers also will vote on a Republican alternative measure.
Sen. Bill Cassidy, R-Louisiana, chair of the Health, Education, Labor, and Pensions Committee, and Sen. Mike Crapo, R-Idaho, who leads the Finance panel, announced the legislation on Monday.
The measure (S. 3386) would set requirements for Health Savings Account (HSA) contributions and direct that the money cannot be used for abortion or “gender transitions.” It would require states to verify citizenship and immigration status before coverage.
Catholic bishops weigh in
The U.S. Conference of Catholic Bishops have said they favor extending the taxpayer subsidies that lower health insurance costs under the ACA, but said lawmakers must ensure that the tax credits are not used for abortions or other procedures that violate Catholic teaching on the sanctity of life.
The enhanced premium tax credits “should be extended but must not continue to fund plans that cover the destruction of human life, which is antithetical to authentic health care,” the bishops wrote in an Oct. 10 letter to members of Congress.
There needs to be a policy that serves “all vulnerable people – born and preborn” and applies full Hyde Amendment protections to them, ensuring not only that government funding does not directly pay for the procuring of an abortion, but also that plans offered by health insurance companies on ACA exchanges cannot cover elective abortion,” they wrote.
The Hyde Amendment, passed by Congress in 1977, prohibits the use of federal funds for abortions except in cases of rape, incest, or when the mother’s life is at risk.
Activists respond
A coalition of more than 300 faith leaders including NETWORK Lobby for Catholic Social Justice, Church Of God In Christ Social Justice Ministry, Faith in Action Network, and Franciscan Action Network, delivered a joint letter to Congress Dec. 8 urging legislators to pass a bipartisan bill that protects and expands the ACA premium tax credits.
“Each life is sacred, therefore, there is a moral imperative to provide care for the sick and alleviate suffering particularly for those who lack resources to pay,” the letter wrote. There must be action to ensure everyone has “the health care they need to live and thrive, as people are currently making choices about coverage for 2026.”
“The letter notes that renewing the tax credits will keep healthcare premiums under the ACA from spiking by an average of 114 percent in 2026,” NETWORK reported. “This would cause an estimated 4.8 million people to lose their health coverage because they cannot afford it. Subsequently, some 50,000 people could lose their lives without their health coverage.”
Other pro-life organizations have warned against expanding the subsidies.
“As Congress continues to face pressure to extend Obamacare’s abortion-funding premium subsidies, Susan B. Anthony Pro-Life America (SBA) is making the facts clear on how Obamacare does not include the Hyde amendment and forces Americans to pay for abortions,” Marjorie Dannenfelser, president of SBA Pro-Life America, said in a statement.
“The enactment of Obamacare ruptured the bipartisan legacy of the Hyde amendment and resulted in the largest expansion of abortion funding since the 1970s,” she said. “Obama and the Democratic leadership at the time intentionally drafted the program to avoid annual appropriations bills, bypassing the Hyde amendment.”
“Instead of stopping funding for health insurance plans that cover elective abortion, Section 1303 of Obamacare expressly permits subsidies for Obamacare plans that cover abortion using elaborate accounting requirements and an abortion surcharge to justify the funding,” she said.
SBA and more than 100 other pro-life organizations are demanding that any extensions to Obamacare include a complete application of the Hyde policy. The groups sent a September letter and an October letter to lawmakers calling on Congress to ensure pro-life provisions.
“Preventing taxpayer funding of abortion is a minimum requirement for any new Obamacare spending advanced by a Republican Congress and Administration,” Dannenfelser said.
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![Preparing for death with the Sister Servants of Mary #Catholic
The Sister Servants of Mary hold a procession with the statue of Our Lady of the Assumption at Mary Health of the Sick Convalescent Hospital in Newbury Park, California. / Credit: Photo courtesy of the Servants of Mary, Ministers to the Sick
CNA Staff, Nov 2, 2025 / 06:00 am (CNA).
When a 93-year-old Catholic father from New Orleans had a stroke, he knew he was prepared to die.Clinton Jacob attended adoration and Mass daily and was “rarely without a prayer book or rosary in hand,” according to his daughter, Kim DeSopo.“[He] never spoke of death with fear or sadness,” she told CNA. “He would simply say, ‘I’ll be going home.’”But not everyone feels prepared for death.The Servants of Mary, Ministers to the Sick, is a Catholic community of sisters who dedicate their lives to caring for the sick and dying in New Orleans and around the world. As nurses, they are at the bedside of the dying through the long nights, whether their patients are lifelong Catholics or have never thought about religion.The sisters often encounter patients as well as family members who are struggling to accept “an illness or imminent death,” Sister Catherine Bussen, a Servant of Mary, told CNA.“Many times, there is a need for reconciliation within the family, for a return to their faith, for acceptance of their condition, etc.,” Bussen said.As medical professionals, the sisters provide physical treatment, but they also walk with their patients throughout their illnesses, encouraging patients and families “always with the hope of eternal life,” Bussen said. DeSopo, Jacob’s daughter, called the sisters for support. The next day, Bussen arrived at their doorstep, and every night for two weeks, she sat at Jacob’s bedside. Bussen’s presence was “a gift,” DeSopo said. “Sister Catherine brought peace and calm into a time filled with stress and sorrow.”“Her prayers, patience, and care provided comfort not only to my father but also to my mother, who could finally sleep knowing someone trustworthy and compassionate was by his side,” DeSopo said, recalling Bussen’s “selfless dedication” and “unwavering faith.” Bussen was with Jacob when he died on Sept. 26, 2024. She prepared his body, cleaning him and sprinkling him with holy water, and then prayed with his wife and daughter.“I will never forget the care and dignity she gave him, even after his final breath,” DeSopo said.Sister Catherine (left) and Sister Dorian Salvador (right) pray for the soul of Kim DeSopa’s father on Oct. 1, 2024, at St. Clement of Rome Church in Metairie, Louisiana. Credit: Photo courtesy of Kim DeSopa and Sister CatherineMary at the foot of the cross “I was sick and you visited me.”This Scripture verse, Matthew 25:36, summarizes the charism of the Servants of Mary, according to Bussen. When they care for the sick, they care for Christ.The sisters will care for anyone in need, preferably within the sick person’s own home. In those who are suffering, the sisters “discover Jesus carrying his cross,” Bussen explained. “By caring for the sick, we believe that we are caring for Christ himself, who still suffers today in the suffering mystical body of Christ,” she said.Sister Angélica Ramos cares for Mrs. Hura, a resident of Mary Health of the Sick Convalescent Hospital in Newbury Park, California. Credit: Photo courtesy of the Servants of Mary, Ministers to the SickFounded in Madrid, Spain, in the 1800s, the sisters care for the sick and dying in Louisiana, Kansas, and California as well as throughout Central and South America, Spain, France, England, Italy, Cameroon, the Philippines, and Indonesia. They run a hospital for the poor in Bamenda, Cameroon, as well as two missionary houses in Oaxaca, Mexico.The sisters look to Mary as an example as they accompany those who are suffering.“Although we are not able to take away someone’s cross, we are present to them, offering all to the Father, like Mary did at the cross of Jesus, that all suffering may be redemptive and fruitful,” Bussen said.“Every one of us sisters would tell you that it is an absolute privilege to be able to enter into the intimacy of a family’s home, listening to the dying, praying with them, and encouraging them on the final stage of their journey as their soul passes into eternity,” she said.Sister Servants of Mary Fatima Muñoz and Carmela Sanz (front) celebrate a May crowning in Kansas City, Kansas. Credit: Photo courtesy of the Servants of Mary, Ministers to the Sick“Our Catholic Christian faith is a beautiful comfort during these times because it is all about looking forward to the promised life to come, the whole goal of our lives, eternal life,” Bussen said.One woman from New Orleans received news no one wants to hear — she had a terminal illness. Though she was not religious, she knew she needed help and did not know who else to turn to, so she called the Servants of Mary.As they cared for her and helped her deal with her terminal diagnosis, the sisters learned the woman was “completely alone in the world,” said Bussen, who took care of her. Other people from the surrounding Catholic community volunteered to stay with her.During that time, the woman found a home in the Catholic Church and received the sacrament of baptism.Her “anxiety was transformed into peace,” said Bussen, who was with her as she died.“As the end drew near, she had a new faith family,” Bussen said. “She was no longer alone.”Remembering the dead The life of a sister Servant of Mary is “contemplative in action.” The sisters unite “our prayer life with our work — going about what we are doing, in all the business of daily life, in a prayerful spirit,” Bussen said.The sisters have time set aside for prayer and work, “but these two aspects cannot be separated from one another,” she continued. “The grace and light received in prayer flows into our work and ministry, and everything we experience in our ministry is taken to prayer.”The Servants of Mary, Ministers to the Sick care for the sick and the dying. Credit: Photo courtesy of the Servants of Mary, Ministers to the SickThroughout the year, the sisters take special care to remember the dead. In November especially, Bussen said the sisters “remember all our patients who have died with us by placing their names in our chapel and offering Masses for their eternal happiness.”“Even after a patient has passed,” she said, “and they no longer need physical care, our ministry continues by praying for their soul.”](http://unitedyam.com/wp-content/uploads/2025/11/preparing-for-death-with-the-sister-servants-of-mary-catholic-the-sister-servants-of-mary-hold-a-procession-with-the-statue-of-our-lady-of-the-assumption-at-mary-health-of-the-sick-convalescent-h.webp)
