Sponsors (142)
Repeals recent reconciliation health provisions and expands the ACA premium tax credit by removing the 400% FPL cap and creating a tiered sliding-scale contribution formula.
Official title: To repeal health-related portions of An Act to provide for reconciliation pursuant to title II of H. Con. Res. 14, and for other purposes.
Introduced August 1, 2025 by Adam Gray · Last progress August 1, 2025
The bill trades reduced federal spending and clearer regulatory footing for agencies against the risk that repealing and changing health-related provisions will remove or reduce coverage and benefits for low- and middle-income people, disrupt providers, increase budget complexity, and raise legal uncertainty.
Middle- and lower-income taxpayers would pay a smaller share of their health insurance premiums because the premium tax credit is extended above 400% of FPL and the applicable percentage phases in across income tiers.
Taxpayers and the federal budget: repealing the reconciliation health subtitle reduces projected federal spending tied to those provisions.
Hospitals, health systems, and agencies get clearer regulatory guidance because agencies must treat statutes/regulations as if the repealed subtitle never existed, removing transitional or ambiguous rules tied to it.
Medicaid beneficiaries and other low-income people could lose expanded coverage or benefits that were created by the repealed subtitle.
Medicare beneficiaries and patients with chronic conditions may lose new benefits or prescription-drug changes implemented by the subtitle.
People previously insured or protected by the subtitle (including uninsured or chronically ill patients) could face coverage loss or higher out-of-pocket costs.
Based on analysis of 3 sections of legislative text.
Repeals certain recent health-reform provisions enacted via reconciliation and restores the law as if those specific reconciliation changes never existed. It also expands eligibility for the ACA premium tax credit by removing the 400% of federal poverty level cap and replacing the current fixed applicable percentage formula with a tiered sliding scale that phases premium contribution rates across income tiers, effective for tax years beginning after December 31, 2025 (practically Jan 1, 2026).