Millions of Texans are at risk of losing a tax credit to help them buy health insurance on the Affordable Care Act marketplace.

There are more than 4.2 million people enrolled in ACA coverage in Texas, according to the Centers for Medicare and Medicaid Services . That means about 95% of ACA enrollees in the state rely on the tax credit that’s set to expire at the end of the year because of changes in the federal budget bill.

The enhanced premium tax credit reduces the cost of coverage on a sliding scale based on income.

Speaking at a town hall meeting in Arlington Thursday, Sharn Barbarin, CEO of Medical City Arlington Hospital, said that helps make preventive care more affordable for patients.

“So that they don't have to make difficult decisions between ‘Do I go to a doctor?’ or ‘Do

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