A Republican bill with 1 Republican cosponsor · See the cosponsor
Last activity — Cloture on the motion to proceed to the measure not invoked in Senate by Yea-Nay Vote. 51 - 48. Record Vote Number: 643. (CR S8654)
Introduced, nothing more yet
Formally proposed, and not yet handed to a committee.
Nearly every bill is sent to a committee within days. Introduction alone is not a sign of support, of momentum, or of any likelihood of passing — any member may introduce any bill.
Its path through Congress
- Introduced
How Congress voted
- See who voted how →A vote to end debate and allow a final vote · 12/11/2025
What this bill would do
This bill, known as the "Health Care Freedom for Patients Act of 2025," aims to provide health savings account contributions to certain eligible enrollees and reduce health care costs. It establishes an "Exchange plan HSA" for individuals enrolled in bronze level or catastrophic plans through an Exchange. The legislation also modifies Medicaid and CHIP requirements regarding citizenship and immigration status. Furthermore, it prohibits the coverage of gender transition procedures as an essential health benefit under Exchange plans and through Federal Medicaid and CHIP funding. Finally, it adjusts funding for cost-sharing reductions.
Yes· 3 of 5
- Scored +5
Would middle-income households be better off under this?
The bill offers direct annual financial contributions to health savings accounts for many eligible earners.
- Scored +5
Does this cut taxes for middle-income families?
The bill provides annual contributions of up to $1,500 to health savings accounts for eligible individuals.
- Scored +4
Would people in middle age be better off under this?
The bill provides HSA contributions of $1,500 for individuals aged 50 to 65.
The opposite· 3 of 12
- Scored -9
Would LGBTQ people be better off under this?
The bill explicitly prohibits coverage for gender transition procedures.
- Scored -8
Does this expand the rights of LGBTQ people?
The bill prohibits coverage for gender transition procedures under Exchange plans and Medicaid/CHIP.
- Scored -7
Would immigrants be better off under this?
The bill limits Medicaid and CHIP funding for individuals without verified legal status.
What Congress actually voted on
One recorded vote has been taken on this bill.
- The Senate: a vote to end debate and allow a final vote In the Senate, debate can continue indefinitely unless 60 senators vote to end it. This vote is that attempt. It decides whether the Senate may vote on the thing at all — not whether the thing passes. A failed cloture vote usually ends the matter without anyone ever voting on its merits. Blocked 51 yes · 48 no
12/11/2025 · Roll call 643 · recorded as “On the Cloture Motion S. 3386”
Who it would affect, and how
Potential Positive Impacts for People
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Health Savings Account Contributions: The bill provides monthly payments to the Exchange plan HSAs of eligible enrollees, with amounts based on age (Section 102). For those aged 18 to 50, the payment is $1,000 annually, and for those aged 50 to 65, the payment is $1,500 annually (Section 102(c)).
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Increased Option for Lower Premium Plans: The bill allows all individuals purchasing health insurance in the individual market the option to purchase a lower premium plan (Section 104).
Potential Negative Impacts for People
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Restrictions on HSA Use: Amounts paid from an Exchange plan HSA may not be treated as paid for medical care if they are used for abortion (unless the pregnancy results from rape or incest, or involves a life-endangering physical condition) or for any sex trait modification procedure or service (Section 101(a)(4)).
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Funding Restrictions for Cost-Sharing Reductions: Funds for cost-sharing reduction payments may not be used for qualified health plans that provide coverage of abortion, except in specific cases involving the life of the mother or rape and incest (Section 103).
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Medicaid and CHIP Limitations: Federal financial participation under Medicaid and CHIP may be prohibited for individuals without verified citizenship, nationality, or satisfactory immigration status (Section 202). Additionally, states may have the option to not provide medical assistance during the period when an individual is providing evidence of status (Section 202(b)).
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Prohibition of Gender Transition Coverage: The bill prohibits the coverage of gender transition procedures as an essential health benefit under plans offered by Exchanges (Section 301). It also prohibits Federal Medicaid and CHIP funding for specified gender transition procedures (Section 302).
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 middle-income households be better off under this? — The bill offers direct annual financial contributions to health savings accounts for many eligible earners. Would people in middle age be better off under this? — The bill provides HSA contributions of $1,500 for individuals aged 50 to 65. Would people in their twenties and thirties be better off under this? — The bill provides annual HSA contributions of $1,000 for individuals aged 18 to 50. Would LGBTQ people be better off under this? — The bill explicitly prohibits coverage for gender transition procedures. Would immigrants be better off under this? — The bill limits Medicaid and CHIP funding for individuals without verified legal status. Would Hispanic Americans be better off under this? — The bill's emphasis on verified citizenship and nationality may negatively impact immigrant populations. Would households on low incomes be better off under this? — The bill limits Medicaid and CHIP access for those without verified immigration status. Would women be better off under this? — The bill places restrictions on the use of HSA funds and cost-sharing reductions for abortion services. Would children be better off under this? — The bill restricts CHIP funding which affects children's healthcare access.
- Healthcare
- Does this lower what people pay for private health insurance? — The bill allows individuals to purchase lower premium bronze or catastrophic plans through the Exchange. Does this make abortion easier to get? — The bill restricts the use of HSA funds and cost-sharing reduction payments for abortion coverage. Does this put more money into Medicaid, the health coverage for people on low incomes? — The bill restricts federal funding for Medicaid and CHIP based on citizenship and prohibits coverage for gender transition procedures. Does this strengthen the Affordable Care Act? — The bill modifies essential health benefits and eligibility requirements within the Affordable Care Act framework. Does this make health care easier to get in general? — The bill imposes citizenship verification requirements that may limit access to Medicaid and CHIP.
- Social Issues And Justice
- Does this expand the rights of LGBTQ people? — The bill prohibits coverage for gender transition procedures under Exchange plans and Medicaid/CHIP.
- Economy And Finance
- Does this cut taxes for middle-income families? — The bill provides annual contributions of up to $1,500 to health savings accounts for eligible individuals. Does this reduce what the federal government spends? — The bill limits federal financial participation in Medicaid and CHIP for certain individuals based on citizenship status.
No amendments submitted yet for this bill.
- 12/11/2025
- Motion to proceed to measure considered in Senate. (CR S8643)
- Cloture on the motion to proceed to the measure not invoked in Senate by Yea-Nay Vote. 51 - 48. Record Vote Number: 643. (CR S8654)
- 12/9/2025
- Motion to proceed to consideration of measure made in Senate. (CR S8567)
- Cloture motion on the motion to proceed to the measure presented in Senate. (CR S8567)
- Motion to proceed to consideration of measure withdrawn in Senate.
- 12/8/2025
- Introduced in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time. (Legislative Day December 4, 2025).
- Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 285.
- 1 Cosponsor added.
- Introduced in Senate
Bill CassidyRepublican · Louisiana