Sam Liccardo (D-CA)
To amend the Internal Revenue Code of 1986 to extend and modify the enhanced premium tax credit, and for other purposes.
A Democratic bill with 6 Republican cosponsors · See all 12 cosponsors
Last activity — Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
In committee
Introduced and handed to a committee in the chamber it started in.
The committee holds it, and most bills are never heard from again. A hearing or a committee vote would be news; silence is the usual outcome, and it kills the bill without anyone voting against it.
Its path through Congress
- Introduced
- In Committee
What this bill would do
This bill proposes several changes to health care regulations and tax credits. It seeks to extend and modify the enhanced premium tax credit for the years 2026 and 2027. The legislation also aims to improve risk adjustment processes for Medicare Advantage by utilizing more diagnostic data and excluding certain diagnoses. Additionally, the bill introduces stricter penalties for agents and brokers to reduce fraudulent enrollment in qualified health plans. Finally, it establishes new consumer protections and oversight mechanisms for health plan enrollment.
Yes· 3 of 8
- Scored +6
Does this strengthen the Affordable Care Act?
The bill extends premium tax credits and implements new consumer protection and verification processes within the ACA framework.
- Scored +5
Would households on low incomes be better off under this?
The bill modifies and extends premium tax credits that directly assist households at various income levels.
- Scored +5
Would middle-income households be better off under this?
The bill extends enhanced premium tax credits for middle-income households through 2027.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
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Enhanced Premium Tax Credits: The bill modifies the premium tax credit percentages for various household income levels for taxable years beginning after December 31, 2025, and before January 1, 2028 (Section 1).
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Improved Medicare Advantage Risk Adjustment: The Secretary would use two years of diagnostic data for risk adjustment methodology starting in 2026 (Section 2(a)).
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Exclusion of Certain Diagnoses from Medicare Risk Adjustment: Diagnoses collected from chart reviews or health risk assessments would no longer be used for establishing payment adjustment factors (Section 2(b)).
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New Consumer Protections for Enrollment: The Secretary is tasked with establishing a verification process for enrollments submitted by agents or brokers, which includes requiring documentation of consumer consent and providing timely notifications regarding coverage changes (Section 3(b)).
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Continuity of Coverage: The enrollment verification process is required to prioritize the continuity of coverage and care, ensuring individuals are not disenrolled from qualified health plans without their consent (Section 3(b)).
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Strict Penalties to Deter Fraud: The bill establishes civil and criminal penalties for agents or brokers who provide false or fraudulent information during the enrollment process (Section 3(a)).
Potential Negative Impacts for People
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Civil Penalties for Agents or Brokers: Agents or brokers may face civil penalties of at least $10,000 and up to $50,000 if they fail to provide correct information due to negligence or disregard of rules (Section 3(a)).
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Significant Penalties for Knowing Violations: Agents or brokers who knowingly provide false or fraudulent information could face civil penalties of up to $200,000 (Section 3(a)).
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Criminal Prosecution for Fraud: Agents or brokers who willfully provide false or fraudulent information face potential fines and imprisonment for up to 10 years (Section 3(a)).
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Tap or hover a score for the reason it gave.
- Demographic And Interest Groups
- Would households on low incomes be better off under this? — The bill modifies and extends premium tax credits that directly assist households at various income levels. Would middle-income households be better off under this? — The bill extends enhanced premium tax credits for middle-income households through 2027. Would retired people be better off under this? — The changes to Medicare Advantage risk adjustment aim to improve the stability and accuracy of coverage for seniors. Would people over 65 be better off under this? — The bill improves the Medicare Advantage risk adjustment methodology by utilizing two years of diagnostic data.
- Healthcare
- Does this strengthen the Affordable Care Act? — The bill extends premium tax credits and implements new consumer protection and verification processes within the ACA framework. Does this make health care easier to get in general? — By extending premium tax credits, the bill helps maintain affordability of health insurance for various income levels.
- Economy And Finance
- Does this cut taxes for middle-income families? — The bill extends and modifies the enhanced premium tax credit for specific income tiers through 2027.
- Social Issues And Justice
- Is this likely to lift people out of poverty? — The extension of premium tax credits provides financial relief to low-to-middle income households for healthcare costs.
- 6/23/2026
- 1 Cosponsor added.
- 12/5/2025
- 2 Cosponsors added.
- 12/2/2025
- 2 Cosponsors added.
- 12/1/2025
- 1 Cosponsor added.
- 11/25/2025
- 2 Cosponsors added.
- 11/10/2025
- Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- 4 Cosponsors added.
- Introduced in House
3 bills Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Don BaconRepublican · Nebraska
Vicente GonzalezDemocrat · Texas
Maggie GoodlanderDemocrat · New Hampshire
Adam GrayDemocrat · California
James GallagherRepublican · California
Ro KhannaDemocrat · California
Kevin KileyIndependent · California
Michael LawlerRepublican · New York
Dan NewhouseRepublican · Washington
Zachary NunnRepublican · Iowa
Deborah RossDemocrat · North Carolina
Jefferson Van DrewRepublican · New Jersey