Bill > S3386

This bill, known as the Health Care Freedom for Patients Act of 2025, introduces several significant changes to healthcare policy across multiple domains. The bill creates a new type of health savings account (HSA) called an Exchange plan HSA for individuals enrolled in bronze or catastrophic health insurance plans, with government contributions of $1,000 for individuals aged 18-50 and $1,500 for individuals aged 50-65, subject to certain income and immigration status requirements. The bill restricts the use of these HSAs, prohibiting payments for abortion (with limited exceptions) and gender transition procedures. Additionally, the legislation makes substantial changes to Medicaid and health insurance exchanges, including prohibiting coverage of gender transition procedures as an essential health benefit, limiting federal financial participation for individuals without verified citizenship or immigration status, and modifying rules around catastrophic health plans. The bill also includes provisions that define biological sex narrowly and restrict certain medical procedures, particularly those related to gender transition. These changes are primarily targeted to take effect in 2026 and 2027, with the stated goals of increasing healthcare choices, reducing premiums, and preventing what the bill's authors consider wasteful spending.

https://www.congress.gov/bill/119th-congress/senate-bill/3386/all-info