HR7071-119

In Committee

Healthcare Reinvestment Act

119th Congress Introduced Jan 14, 2026

Summary

What This Bill Does

The Healthcare Reinvestment Act redirects funds from specified Public Law 119-21 provisions into health insurance premium tax credit support. Section 2 repeals sections 100052, 100053, 100054, and 100055 of Public Law 119-21 and instructs that provisions classified to title 6 or title 8 of the United States Code be applied as if those sections had not been enacted. It rescinds the amounts appropriated under those sections and transfers the rescinded amounts, without fiscal-year limitation, to the Treasury Secretary to extend the application of subsections (b)(3)(A)(iii) and (c)(1)(E) of Internal Revenue Code section 36B, the Affordable Care Act premium tax credit. Section 3 requires Treasury to publish an annual written report on use of the funds, including the number of individuals who retained eligibility for section 36B tax credits, and requires the Treasury Inspector General for Tax Administration to conduct annual audits.

Who Benefits and How

Individuals retaining Affordable Care Act premium tax credit eligibility, marketplace health plan enrollees, families receiving section 36B subsidies, health insurers in ACA marketplaces, and health coverage advocates benefit if the transferred funds extend premium-tax-credit treatment. Treasury and Congress benefit from annual reports identifying how funds were used and how many people retained eligibility. TIGTA auditors benefit from a defined annual audit mandate.

Who Bears the Burden and How

Programs funded by the repealed Public Law 119-21 sections lose appropriated funds. Treasury staff must receive and administer the transfer, apply the money to section 36B extensions, publish annual reports, and track retained eligibility. TIGTA auditors must conduct annual audits. Federal budget staff must account for rescissions, transfers without fiscal-year limitation, and effects on premium tax credit outlays.

Key Provisions

  • Repeals sections 100052, 100053, 100054, and 100055 of Public Law 119-21.
  • Rescinds amounts appropriated under those Public Law 119-21 sections.
  • Transfers rescinded funds to Treasury without fiscal-year limitation.
  • Extends application of specified Internal Revenue Code section 36B premium tax credit provisions.
  • Requires annual public Treasury reports on fund use and retained premium-tax-credit eligibility.
  • Requires annual TIGTA audits of the transferred funds.

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

Repeals and rescinds funds from specified Public Law 119-21 provisions classified to title 6 or 8, transfers the rescinded amounts to Treasury without fiscal-year limitation to extend Affordable Care Act premium tax credit treatment under Internal Revenue Code section 36B, and requires annual public Treasury reports and TIGTA audits on the use of the funds.

Key Policy Areas

Healthcare, Tax, Government Oversight

Primary Purpose

Repeals and rescinds funds from specified Public Law 119-21 provisions classified to title 6 or 8, transfers the rescinded amounts to Treasury without fiscal-year limitation to extend Affordable Care Act premium tax credit treatment under Internal Revenue Code section 36B, and requires annual public Treasury reports and TIGTA audits on the use of the funds.

Policy Domains

Healthcare Tax Government Oversight

Substantive provisions

Identified Gains
  • ACA marketplace enrollees
  • Families receiving premium tax credits
  • Health insurers in ACA marketplaces
  • Health coverage advocacy organizations
  • Treasury reporting staff
  • Congressional health committees
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih
Treasury reporting staff: ,
ACA marketplace enrollees: ,
Congressional health committees: ,
Health insurers in ACA marketplaces: ,
Families receiving premium tax credits: ,
Health coverage advocacy organizations: ,
Identified Costs
  • Programs funded by repealed Public Law 119-21 sections
  • Treasury premium tax credit staff
  • TIGTA auditors
  • Federal budget staff
  • IRS section 36B administrators
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih
TIGTA auditors: ,
Federal budget staff: ,
IRS section 36B administrators: ,
Treasury premium tax credit staff: ,
Programs funded by repealed Public Law 119-21 sections: ,

Legislative Progress

In Committee
Introduced Committee Passed
Jan 15, 2026

Referred to the Subcommittee on Border Security and Enforcement.

Jan 14, 2026

Referred to the Committee on Ways and Means, and in …

Jan 14, 2026

Introduced in House

Jan 14, 2026

Mr. Moulton (for himself, Mr. Carson, Mr. Soto, and Ms. …

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Government
6 mentions across 2 clauses
+1 positive -5 negative

Congressional health committees, Federal budget staff, Programs funded by repealed Public Law 119-21 sections

Positive-direction: Congressional health committees

Negative-direction: Federal budget staff, Programs funded by repealed Public Law 119-21 sections, TIGTA auditors, Treasury premium tax credit staff, Treasury reporting staff

Healthcare
2 mentions across 2 clauses
+2 positive

ACA marketplace enrollees

Consumers
1 mention across 1 clause
+1 positive

Families receiving premium tax credits

2/3
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare Tax Government Oversight

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology