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Health Care Freedom for Patients Act of 2025

Introduced: December 8, 2025 Introduced by: Crapo, Mike Republican · Idaho See on congress.gov
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 Everywhere this bill has been 8 steps
Introduced
In committee
Reported out
Passed House
Passed Senate
To President
Became law
Dec 11, 2025
Motion to proceed to measure considered in Senate. (CR S8643)
Dec 11, 2025
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)
Dec 9, 2025
Cloture motion on the motion to proceed to the measure presented in Senate. (CR S8567)
Dec 9, 2025
Motion to proceed to consideration of measure withdrawn in Senate.
Dec 9, 2025
Motion to proceed to consideration of measure made in Senate. (CR S8567)
Dec 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).
Dec 8, 2025
Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 285.
Dec 8, 2025
Introduced in Senate
 Votes taken on this bill 1
DateChamberWhat was voted onResultYes–No
Dec 11, 2025 Senate · vote #643 On the Cloture Motion S. 3386 Rejected 51–48 See who voted →
 Amendments to this bill 2
AmendmentSponsorPurposeStatusLatest action
SAMDT 3,968 Sullivan, Dan — Pending —
SAMDT 3,960 Collins, Susan M. — Pending —
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 Plain-English summary Congressional Research Service

Health Care Freedom for Patients Act of 2025

This bill allows certain individuals with health savings accounts (HSAs) to receive federal payments. It also restricts payments under Medicaid and the Children's Health Insurance Program (CHIP) regarding certain noncitizens and restricts coverage of gender-transition procedures.

Specifically, the bill provides funds for the Department of Health and Human Services to deposit payments into an individual’s HSA during 2026-2027 if the individual has a bronze or catastrophic plan through a health insurance exchange, is between the ages of 18 and 64, and has income up to 700% of the federal poverty level (FPL). Individuals may receive $1,000 or $1,500 annually, depending on age. 

The bill also provides funds, beginning in 2027, for cost-sharing reductions for certain individuals who have a silver plan and income up to 250% of the FPL.

Beginning in 2027, the bill allows any individual to enroll in a catastrophic plan. Currently, these plans are limited to those under the age of 30 or who have certain exemptions.

The bill also reduces the enhanced federal matching rate for the Medicaid expansion population in states that provide any health benefits for individuals who are not qualified aliens under federal law. The bill makes Medicaid and CHIP coverage of individuals while their status is being verified optional and conditions federal payment during this period on verification. 

Finally, the bill prohibits exchange plans from covering gender-transition procedures as an essential health benefit and prohibits federal payment under Medicaid and CHIP for these procedures.

What's happening now December 11, 2025

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)

 Bill text 1 version

Source documents hosted by congress.gov.

 Lobbying activity 26

Registered lobbyists who named this bill in their disclosure filings. Source: federal Lobbying Disclosure Act filings.

See all 26 filings →
 Cosponsors 1
All 1 Republican 1
R
Cassidy, Bill
Louisiana · Dec 8, 2025
Cite this page click to expand
APA
U.S. Congress. (2026). S. 3386: Health Care Freedom for Patients Act of 2025. 119th Congress. Open America. https://openamerica.io/bill/119-S-3386/
MLA
"S. 3386: Health Care Freedom for Patients Act of 2025." 119th Congress, 2026, Open America, https://openamerica.io/bill/119-S-3386/.
Bluebook (legal)
S. 3386, 119th Cong. (2026), https://openamerica.io/bill/119-S-3386/.
Markdown link
[S. 3386: Health Care Freedom for Patients Act of 2025](https://openamerica.io/bill/119-S-3386/)
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