Florida will be hit the hardest in the nation by upcoming cuts to Affordable Care Act (ACA) plans, also known as Obamacare, on Nov. 1. I’m fighting in Washington, alongside House Democrats, to stop this huge health-care hike for Central Floridians and reopen the government.

If President Trump and Republicans don’t agree to extend the ACA Premium Tax Credit, 24.3 million Americans will see their health care costs spike by 75% or more. Two million Floridians are estimated to lose insurance, and many will needlessly get sicker and die as a result. This is absolutely cruel and wrong. We must come together in a bipartisan manner to stop this health-care crisis before open enrollment starts on Nov. 1.

Florida has the most to lose. It has been a shock for many in Congress that our state has the biggest Obamacare exchange in the nation. In Florida, 4.6 million people get their private health plans through the exchange, and the top 10 Obamacare congressional districts are allin the state. Our district has the second-most enrollment in the nation, with 271,000 people receiving the Premium Tax Credit. Congressman Maxwell Frost’s district (District 10) ranks eighth in the nation, with 189,000 people receiving the tax credit.

How could this be in a state where the majority of voters chose Trump three times? The answer is simple: We have many Floridians who own or work for small businesses or are independent contractors, and they don’t have access to affordable employer-based plans or Medicaid. So, they get their private health plans on the ACA exchange. The reason the Obamacare plans cost less is because the federal government provides a Premium Tax Credit that lowers monthly payments. In fact, when I had my private law firm, I provided health care for my employees through Obamacare.

If this issue goes unresolved, it will raise health-care costs for all Floridians. If two million people lose their coverage and become uninsured, then other private employer plans, union plans, and Medicare Advantage plans will spike too. This is because hospitals and clinics will still have to treat uninsured patients in the emergency room or otherwise. They will pass on the costs to everyone else. Local insurance companies are aware of these anticipated cost increases, so they are already quoting increases to local employer plans of 24% or more for some, with Medicare Advantage increases expected too.

In Florida’s Ninth District, these huge health-care hikes will cripple families if the Premium Tax Credit is not extended. A family of four making our district’s median household income of $81,134 per year will pay $3,564 more in 2026. An older couple aged 62 with no kids making a household income of $120,000 per year will pay $10,200 more next year. We’ve even seen premium increases rise over $15,000 for some, especially pre-Medicare seniors with kids.

Trump recently approved $20 billion to bail out Argentina. Congress can find $30 billion to stop a massive health-care hike on the American people. Nov. 1 is right around the corner, so the clock is ticking.

Darren Soto is a Democrat representing Florida’s Ninth Congressional District in the U.S. House of Representatives.