Health Care Freedom for Patients Act of 2025
Latest action (Dec 11, 2025) — on the to the measure not invoked in Senate by Yea-Nay Vote. 51 - 48. Record Vote Number: 643. (CR S8654)
What it does
Congressional Research Service, Dec 8, 2025This 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.
Face Value
as placed on the calendarHow much of this bill its name accounts for.
- Every bill starts at100
- Nothing counted against it: one area of law, and short enough that length doesn't register.
Face Value measures reach, not honesty. A big bill can be accurately named, and a low score is not an accusation — it means the contents reach further than any short title could describe. Count it yourself ↗ How this is worked out
What Congress did
1 recordedOn the decisive vote
Senate · Dec 11, 2025
Whether to end debate so a final vote can happen. Needs 60 senators — this is the vote most bills die on.
Who lobbied on this
6 organizationsThese organizations told Congress, in their own quarterly disclosures, that they were lobbying on this bill.
- American Medical Associationno position stated
“…all provisions H.R. 3022, Restoring Rights of Physicians to Own Hospitals Act, all provisions S. 1399, Health Tech Investment Act, all provisions S. 3386, Health Care Freedom for Patients Act of 2025, provisions related to the ACA H.R. 498, Do No Harm in Medicaid Act, all provisions H.R. 4710,…” filing ↗
- Federation of American Hospitalsno position stated
“…S. 3386, Health Care Freedom for Patients Act of…” filing ↗
- Highmark Inc.no position stated
“…of 2021 (ARPA) and the Inflation Reduction Act of 2022 (IRA) that generally expand eligibility for and increase the amount of the premium tax credit. S. 3386 - Health Care Freedom for Patients Act - This bill allows certain individuals with health savings accounts (HSAs) to receive federal payments.…” filing ↗
- Planned Parenthood Action Fund Inc.no position stated
“…Bagenstos, resigned. (PN25-52) Health Care Freedom for Patients Act of 2025 (S. 3386) Lower Health Care Costs Act (S. 3385) Lower Health Care Premiums for All Americans Act (H.R. 6703) Protect Childrens Innocence Act (H.R.…” filing ↗
- Reproductive Freedom for Allno position stated
“…S.3386, the Health Care Freedom for Patients Act of…” filing ↗
- Texas Cattle Feeders Associationno position stated
“…Brazil Trade Compliance Issues. Safe American Food Exports Act. USDA - Made in the U.S. Rule. Paraguay Beef Imports (S. 3386)” filing ↗
Most filings say only that an organization lobbied on a bill, not which side it took — where that's the case we say so rather than guessing. Quotes are verbatim from the filing. How this is built.
Discussion
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