S3385-119

Introduced

Lower Health Care Costs Act

119th Congress Introduced Dec 8, 2025

Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.

Summary

What This Bill Does

The bill creates extends the enhanced Affordable Care Act premium tax credits for health insurance by three years, from 2025 to 2028, allowing individuals purchasing coverage through ACA marketplaces to continue receiving larger. It relies on tax credits. The main policy areas are Healthcare and Finance.

Who Benefits and How

Middle-income families (100-400% of Federal Poverty Level) could see lower costs, Individuals purchasing health insurance through ACA marketplaces could see lower costs, and Health insurance companies selling marketplace plans could gain revenue opportunities.

Who Bears the Burden and How

Federal government / US Treasury could face higher costs and US taxpayers could face higher costs.

Key Provisions

  • Creates extends the enhanced Affordable Care Act premium tax credits for health insurance by three years, from 2025 to 2028, allowing individuals purchasing coverage through ACA marketplaces to continue receiving larger...

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

The bill creates extends the enhanced Affordable Care Act premium tax credits for health insurance by three years, from 2025 to 2028, allowing individuals purchasing coverage through ACA marketplaces to continue receiving larger.

Key Policy Areas

Healthcare, Finance

Primary Purpose

The bill creates extends the enhanced Affordable Care Act premium tax credits for health insurance by three years, from 2025 to 2028, allowing individuals purchasing coverage through ACA marketplaces to continue receiving larger.

Policy Domains

Healthcare Finance

Section 1 - Short Title

Identified Gains
  • Middle-income families (100-400% of Federal Poverty Level)
  • Individuals purchasing health insurance through ACA marketplaces
  • Health insurance companies selling marketplace plans
  • Hospitals and healthcare providers
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: pcs
Hospitals and healthcare providers:
Health insurance companies selling marketplace plans:
Middle-income families (100-400% of Federal Poverty Level):
Individuals purchasing health insurance through ACA marketplaces:
Identified Costs
  • Federal government / US Treasury
  • US taxpayers
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: pcs
US taxpayers:
Federal government / US Treasury:

Legislative Progress

Introduced
Introduced Committee Passed
Dec 11, 2025

Cloture on the motion to proceed to the measure not …

Dec 9, 2025

Cloture motion on the motion to proceed to the measure …

Dec 9, 2025

Motion to proceed to consideration of measure made in Senate. …

Dec 8, 2025

Mr. Schumer introduced the following bill; which was read the …

Dec 8, 2025

Read the second time. Placed on Senate Legislative Calendar under …

Dec 8, 2025

Introduced in the Senate. Read the first time. Placed on …

Dec 8, 2025

Introduced in Senate

Stakeholder Effects

cui bono?

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

Healthcare Beneficiaries
2 mentions across 1 clause
+2 positive

Individuals purchasing health insurance through ACA marketplaces, Middle-income families (100-400% of Federal Poverty Level)

Financial Services
1 mention across 1 clause
+1 positive

Health insurance companies selling marketplace plans

Healthcare
1 mention across 1 clause
+1 positive

Hospitals and healthcare providers

Government
1 mention across 1 clause
-1 negative

Federal government / US Treasury

General Public
1 mention across 1 clause
-1 negative

Taxpayers

1/2
sections analyzed
Full impact breakdown
Senate Roll #644

On the Cloture Motion S. 3385

Motion to Invoke Cloture: Motion to Proceed to S. 3385

Cloture Motion Rejected (51-48, 3/5 majority required)
51 Yea 48 Nay 1 Not Voting
Dec 11, 2025

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare Finance
Domains
Healthcare Tax Policy
Actor Mappings
"irs"
→ Internal Revenue Service (administers premium tax credits)

Key Definitions

Terms defined in this bill

2 terms
"applicable percentage" §36B(b)(3)(A)

The percentage of household income that determines the maximum amount a taxpayer must contribute toward health insurance premiums before receiving the premium tax credit

"premium tax credit eligibility" §36B(c)(1)(E)

Rules determining eligibility for the premium tax credit, including income thresholds based on Federal Poverty Level

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