Health Care Freedom for Patients Act of 2025
Official title: A bill to provide a health savings account contribution to certain enrollees, to reduce health care costs, and for other purposes.
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| Date | Chamber | What was voted on | Result | Yes–No | |
|---|---|---|---|---|---|
| Dec 11, 2025 | Senate · vote #643 | On the Cloture Motion S. 3386 | Rejected | 51–48 | See who voted → |
Amendments propose changes to this bill. Members vote on amendments separately before the final bill vote. An agreed amendment becomes part of the bill; a failed amendment does not.
| Amendment | Sponsor | Status |
|---|---|---|
| SAMDT 3,968 | Sullivan, Dan | Pending |
| SAMDT 3,960 | Collins, Susan M. | Pending |
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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)
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.
- Placed on Calendar Senate Formatted Text PDF Formatted XML
- Placed on Calendar Senate Formatted Text PDF Formatted XML
- MASON CONSULTING, LLC
- NATIONAL MULTIPLE SCLEROSIS SOCIETY
- HEALTHEQUITY, INC.
- ASSOCIATION OF AMERICAN MEDICAL COLLEGES
- SPANGLER STRATEGIES LLC
- THE D MAJOR GROUP
Bodies those filers lobbied
- HOUSE OF REPRESENTATIVES
- SENATE
- Centers For Medicare and Medicaid Services (CMS)
- Health & Human Services, Dept of (HHS)
- Natl Institutes of Health (NIH)
- Veterans Affairs, Dept of (VA)
- Homeland Security, Dept of (DHS)
- Centers For Disease Control & Prevention (CDC)
Cite this page
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/
"S. 3386: Health Care Freedom for Patients Act of 2025." 119th Congress, 2026, Open America, https://openamerica.io/bill/119-S-3386/.
S. 3386, 119th Cong. (2026), https://openamerica.io/bill/119-S-3386/.
[S. 3386: Health Care Freedom for Patients Act of 2025](https://openamerica.io/bill/119-S-3386/)