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H.R. 4849 · 119th Congress

Protecting Health Care and Lowering Costs Act of 2025

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AGD GraySponsor
142 cosponsors · 142 D
PTD Tonko KCD Castor YCD Clarke JLD Larson KMD Mullin RMD Menendez JMD McClellan LSD Simon JBD Brownley NBD Barragán JCD Chu SDD DelBene CFD Fields DGD Goldman SHD Horsford HJD Johnson RLD Larsen GLD Landsman JMD Mannion END Norton AOD Ocasio-Cortez RRD Ruiz JCD Costa DMD Matsui MQD Quigley BSD Sherman DDD Davis RKD Krishnamoorthi KMD Morrison JND Nadler RTD Torres YAD Ansari NND (Nikki) Budzinski JGD Gottheimer SMD McBride JSD Schakowsky SCD Cohen JCD Correa ACD Craig TCD Carter RKD Kelly SLD Liccardo IOD Omar TSD Suozzi SSD Subramanyam GGD (Gabe) Vasquez GAD Amo JCD Castro SFD Figures LFD Friedman TKD Kennedy LRD Rivas ERD Randall TSD Sewell HSD Stevens ASD Salinas LTD Trahan DTD Tran MVD Veasey KMD McDonald Rivet CDD Deluzio LFD Fletcher FPD Pallone MSD Scanlon VGD Gonzalez SJD Jacobs DSD Soto MWD Waters JBD Beatty ECD Cleaver JJD Johnson GMD Meng CPD Pappas BPD Pettersen ESD Swalwell KSD Schrier BBD Balint DDD Dingell PJD Jayapal BMD McCollum CPD Pingree DDD DeGette BBD Boyle SCD Cherfilus-McCormick DRD Ross ESD Sorensen SCD Carbajal JHD Huffman JJD Jackson TLD Leger Fernandez JOD Olszewski JRD Riley BSD Scott BTD Thompson RTD Tlaib JTD Tokuda STD Thanedar LUD Underwood GWD Whitesides SBD Bonamici ABD Bera HCD Cuellar MDD Dean LFD Frankel JGD Garamendi TLD Lieu SLD Lee GLD Latimer SMD Moulton DND Norcross NPD Pelosi BSD Schneider MTD Thompson DTD Titus NVD Velázquez BWD Watson Coleman MPD Pocan MSD Sherrill WBD Bell JBD Bynum MDD Dexter JHD Himes GID Ivey SLD Lynch MTD Takano ASD Smith SBD Bishop CGD García GCD Cisneros AMD McClain Delaney MSD Strickland ESD Sykes SMD Magaziner AGD Grijalva JMD McGovern JPD Panetta JCD Crockett SCD Casten NTD Torres CMD Menefee AGD Green DMD Min

0 signed on when it was introduced; the rest joined later. Cosponsors who withdrew aren't shown.

This bill makes permanent temporary provisions that generally expand eligibility for and increase the amount of the premium tax credit. This bill also repeals multiple Medicaid, Medicare, and health-related tax provisions enacted by the One Big Beautiful Bill Act (OBBBA).

What it does: CRS summary · Introduced in House · Aug 1, 2025

Protecting Health Care and Lowering Costs Act 2025

This bill makes permanent temporary provisions that generally expand eligibility for and increase the amount of the premium tax credit. This bill also repeals multiple Medicaid, Medicare, and health-related tax provisions enacted by the One Big Beautiful Bill Act (OBBBA).

Currently, eligible taxpayers may claim the premium tax credit, which applies toward the cost of obtaining health insurance through health insurance exchanges. To qualify, a taxpayer’s household income must meet or exceed 100% of the federal poverty level (FPL) and, after 2025, may not exceed 400% of the FPL (maximum income limit). For 2021-2025, the maximum income limit is eliminated, which generally expands eligibility for the premium tax credit.

Further, under current law, the amount of the premium tax credit is partially based on the taxpayer’s household income multiplied by the applicable percentage. The applicable percentage varies depending on which of six income ranges (adjusted for inflation after 2025) the taxpayer’s household income falls within. For 2021-2025, the applicable percentages are lowered and the adjustment of the applicable percentages for inflation is eliminated, which generally increases the amount of the premium tax credit.

The bill permanently eliminates the 400% maximum income limit, lowers the applicable percentages, and eliminates the inflation adjustment for the applicable percentages.

Finally, the bill repeals multiple Medicaid, Medicare, and health-related tax provisions enacted by the OBBBA, including

  • certain Medicare and Medicare eligibility and verification requirements,
  • the reduced window for retroactive Medicaid coverage, and
  • premium tax credit verification requirements.

Written by the nonpartisan Congressional Research Service. All summary versions on Congress.gov

About this bill and sources

Official title: Protecting Health Care and Lowering Costs Act of 2025

Latest action (Aug 1, 2025): Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Policy area: Taxation · Origin: House · Introduced: Aug 1, 2025

Official page on Congress.gov · Bill text (GovInfo) · Status record (XML)

No recorded floor vote found.