Sponsors (142)
The bill trades reduced federal spending and clearer regulatory rules (from repealing certain reconciliation health provisions) plus expanded premium tax credits for many taxpayers against substantial risks of coverage and benefit losses for Medicaid/Medicare beneficiaries, higher costs and disruption for patients and providers, legal uncertainty, and added budgetary and taxpayer-complexity costs.
Middle- and lower-income taxpayers (including many middle-class families) would pay a smaller share of their health insurance premiums because the premium tax credit is extended above 400% of the federal poverty level and phases in across income tiers.
Taxpayers and the federal budget would see reduced projected spending tied to the repealed reconciliation health provisions, lowering near-term federal outlays compared with keeping those provisions in place.
Agencies, hospitals, and health systems would have clearer regulatory expectations because the bill requires treating the repealed subtitle as if it never existed, removing transitional or ambiguous rules tied to it.
Medicaid beneficiaries and low-income people could lose expanded coverage or benefits that the repealed subtitle had created, reducing access to care for vulnerable populations.
Medicare beneficiaries and patients with chronic conditions could lose new benefits or prescription-drug changes implemented by the repealed subtitle, worsening health and financial outcomes for people with ongoing care needs.
People who were insured or protected by the repealed provisions (including some previously uninsured individuals) could face coverage loss or higher out-of-pocket costs for care.
Based on analysis of 3 sections of legislative text.
Repeals recent reconciliation health provisions and expands premium tax credit eligibility by removing the 400% income cap and instituting a tiered sliding-scale contribution formula.
Repeals recently enacted reconciliation health provisions and expands eligibility for the Affordable Care Act premium tax credit by removing the 400% of the federal poverty level income cap and replacing the statutory applicable percentage formula with a tiered sliding scale. The tax-code changes take effect for taxable years beginning after December 31, 2025; the repeal of the reconciliation subtitle would operate as if those provisions were never enacted.
Introduced August 1, 2025 by Adam Gray · Last progress August 1, 2025