Bill > S3391

This bill, known as the Accountability for Better Care Act of 2025, proposes significant changes to healthcare premium tax credits and related provisions in the Internal Revenue Code. Specifically, the bill extends enhanced premium tax credits through 2027 and introduces several key modifications: it increases the income percentage threshold for premium calculations from 400% to 600% of the federal poverty level, adjusts applicable percentages for premium calculations, and adds a provision to ensure that premium assistance does not exceed monthly premiums minus $5. The bill also introduces new citizenship rules that restrict premium tax credit eligibility to U.S. citizens and adds restrictions on health plan coverage of abortion, with exceptions for cases involving life endangerment, rape, or incest. Additionally, the legislation provides appropriations for cost-sharing reductions for health plans beginning in 2027 and modifies rules related to citizenship eligibility for these reductions. These changes aim to modify and extend healthcare affordability provisions originally established by the Affordable Care Act, with most provisions taking effect for taxable years beginning after December 31, 2025.

Budget and Finance

https://www.congress.gov/bill/119th-congress/senate-bill/3391/all-info