A Democratic bill with 1 Democratic cosponsor · See the cosponsor
Last activity — Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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, titled the ``Puerto Rico Affordable Care Act of 2025'', seeks to amend the Patient Protection and Affordable Care Act. It specifically requires the establishment of a health insurance Exchange in Puerto Rico. The legislation mandates that certain health insurance market reforms apply to coverage offered in Puerto Rico. Additionally, it ensures that residents of Puerto Rico are treated in the same manner as a State for the purpose of premium tax credits. These changes are set to take effect one year after the Act is enacted.
Yes· 3 of 9
- Scored +6
Would households on low incomes be better off under this?
The bill increases financial support through the application of premium tax credits to residents of Puerto Rico.
- Scored +6
Does this strengthen the Affordable Care Act?
The bill strengthens the Affordable Care Act by establishing a health insurance Exchange and applying market reforms in Puerto Rico.
- Scored +6
Does this make health care easier to get in general?
The establishment of an insurance Exchange and the application of premium tax credits will improve healthcare access for Puerto Rican residents.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
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Establishment of an Exchange: The bill requires the creation of an Exchange in Puerto Rico, which provides a specific marketplace for health insurance (Section 2).
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Application of Market Reforms: The Secretary of Health and Human Services will apply certain provisions of title XXVII of the Public Health Service Act to health insurance coverage offered in Puerto Rico (Section 3).
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Premium Tax Credits: Residents of Puerto Rico will be treated in the same manner as a State for purposes of specific subsections of the Internal Revenue Code, which relates to the application of tax credits (Section 4).
Potential Negative Impacts for People
- No specific negative impacts or burdens are explicitly stated in the provided text.
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 increases financial support through the application of premium tax credits to residents of Puerto Rico. Would Hispanic Americans be better off under this? — As a major demographic in Puerto Rico, Hispanic Americans will benefit from expanded access to affordable health insurance. Would middle-income households be better off under this? — The provision of premium tax credits makes health insurance more affordable for middle-income households in Puerto Rico. Would people in cities be better off under this? — The establishment of a formal health insurance Exchange improves the availability of coverage options in Puerto Rican populated areas. Would people in their twenties and thirties be better off under this? — The expansion of health insurance subsidies and market reforms provides better coverage options for younger working adults in Puerto Rico.
- Healthcare
- Does this make health care easier to get in general? — The establishment of an insurance Exchange and the application of premium tax credits will improve healthcare access for Puerto Rican residents. Does this strengthen the Affordable Care Act? — The bill strengthens the Affordable Care Act by establishing a health insurance Exchange and applying market reforms in Puerto Rico.
- Economy And Finance
- Does this cut taxes for middle-income families? — The bill extends premium tax credits to residents of Puerto Rico, which lowers healthcare costs for middle-income families.
- Social Issues And Justice
- Is this likely to lift people out of poverty? — By providing access to premium tax credits for health insurance, the bill helps reduce the financial burden of healthcare on low-income households.
- 12/4/2025
- Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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.
- 1 Cosponsor added.
- Introduced in House
Pablo HernándezDemocrat · Puerto Rico