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119th Congress Health

S. 3386: Health Care Freedom for Patients Act of 2025

Introduced

  1. Introduced (completed)Dec 8, 2025
  2. Passed Senate (not reached)
  3. Passed House (not reached)
  4. To the President (not reached)
  5. Became law (not reached)

Summary

Introduced in Senate, Dec 8, 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.

Read the full summary

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.

Written by the Congressional Research Service, Library of Congress.

Roll calls

1 vote on this bill

Showing 1 of 1 roll calls

  • Dec 11, 2025SenateClotureFailed, yea-nay 51–48
    Roll call 643 tally by party
    PartyYeaNayPresentNot voting
    Democrats04500
    Republicans51101
    Independents0200
    Total514801

    Senate roll call 643: On the Cloture Motion. Cloture Motion Rejected.

    1 crossed party lines: 1 Republican

    How each member voted (100)

Amendments

2 offered

Showing 2 of 2 amendments

Cosponsors

1

Who scored on this bill

10 points earned
  1. 1Rand Paul R-KY1 maverick vote1 event+6
  2. 2Susan Collins R-ME1 amendment offered1 event+2
  3. 2Dan Sullivan R-AK1 amendment offered1 event+2
See all scorers and every scoring event

Introductions and cosponsorships count toward weekly caps and show no points.

Other bills by Michael Crapo

History

  1. Dec 8, 2025Introduced in the Senate by Michael Crapo.
Show the full action history (8 actions)
  1. Dec 11, 2025Motion to proceed to measure considered in Senate. (CR S8643)
  2. Dec 11, 2025Cloture on the motion to proceed to the measure not invoked in Senate by Yea-Nay Vote. 51 - 48. Record Vote Number: 643. (CR S8654)
  3. Dec 9, 2025Motion to proceed to consideration of measure made in Senate. (CR S8567)
  4. Dec 9, 2025Cloture motion on the motion to proceed to the measure presented in Senate. (CR S8567)
  5. Dec 9, 2025Motion to proceed to consideration of measure withdrawn in Senate.
  6. Dec 8, 2025Introduced in Senate
  7. Dec 8, 2025Introduced in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time. (Legislative Day December 4, 2025).
  8. Dec 8, 2025Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 285.