On Nov. 1, Affordable Care Act (ACA) marketplaces in most states will begin to open for enrollment for next year.

Unless Congress acts, more than 90% of people enrolled in ACA health care plans will see out-of-pocket premiums jump by more than 75% on average. Millions could lose coverage altogether when a key tax credit drops at the end of the year. And higher costs for Affordable Care Act health care plans ultimately will result in higher health care costs for everyone—including people who get their health insurance through their jobs. The last thing families need is health care bills soaring at a time when we’re also dealing with rising food, housing, electricity, gas and other costs.

Congress must act. Please make a call to tell your senators and representative to stop the health care price spike NOW! Call 855-493-4407.

Across the country, news of double-digit health care cost increases already is making headlines. But national Republican leaders refuse to acknowledge that they must address this tidal wave of rising health insurance prices. President Trump, Senate Majority Leader John Thune and House Speaker Mike Johnson are refusing to commit to preserving these tax credits for working people.

We cannot stand by as working families are being forced to spend extra on health care. Fill out the form on this page to make a call or dial 855-493-4407.

You don’t need to be an expert to make a big difference. Our message is simple: “Stop the health care price spikes working families are facing.”

But here are some talking points to help you, if you choose to use them during your call:

• We demand a permanent, clean extension of the ACA tax credits. Leadership must commit to a plan to make the tax credits permanent, without reducing their value or scaling back eligibility.

• If nothing is done, millions will face skyrocketing prices and millions more will lose health care altogether. Unless Congress acts, more than 90% of people enrolled in ACA health plans—over 22 million people who receive premium tax credits to make their coverage more affordable—will face out-of-pocket premium increases averaging more than 75%, because the value of the tax credits will drop on December 31. And the Congressional Budget Office estimates that higher costs would cause 4.2 million people to drop coverage and become uninsured—the participation drop itself then would cause massive damage to the Affordable Care Act.

• Everyone will pay more for health care if the ACA tax credits disappear. Combined with the Medicaid cuts that Republicans in Washington passed this year, ending the Affordable Care Act tax credits would raise health care costs as much as $485 per person a year for the 179 million people with employment-based insurance. That’s nearly $2,000 more a year in health care costs for a family of four.

• We ask you to protect affordability and continuity of coverage. Small groups of Republicans in the House and Senate have called for a one-year extension or a cap on who can get the credits. That’s not good enough. This would lead to instability in the health care industry and insurance companies could stop offering Affordable Care Act health plans. In short, people would lose their doctors and other medical providers. We need a permanent fix now.

• Slashing the health care system again would cost even more health care jobs. Cuts to ACA credits would result in a loss of 130,000 health care jobs. Combined with the $900 billion in Medicaid cuts the Trump administration and Republicans passed earlier this year, this means approximately 607,000 health care jobs in total would be lost.

• More hospitals, nursing homes and clinics would close. A second tidal wave of red ink for the health care system would make the devastating health cuts in the Big Ugly Bill even worse, forcing hospitals, nursing homes and community health clinics to close.

• How would your state be affected? Here is a list of premium rate impacts by congressional district and state.