# 119-hr-6246: Save American Healthcare Act

119-hr-6246, Save American Healthcare Act, is a 119th Congress bill sponsored by Rep. Thanedar, Shri [D-MI-13] (D-MI); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-6246
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-6246
- Congress: 119
- Title: Save American Healthcare Act
- Status: introduced
- Introduced: 2025-11-21
- Sponsor: Rep. Thanedar, Shri [D-MI-13] (D-MI)
- Cosponsors: 0
- Policy area: Taxation
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**This bill would temporarily expand eligibility for the health insurance premium tax credit above the 400% federal poverty level and extend the enhanced marketplace premium assistance beyond its prior sunset.** It ties that expansion to a budget test and says the extra cost would be covered by tariff revenue collected after January 19, 2025. - Higher-income households. Households with incomes above 400% of the federal poverty level could qualify for premium tax credits for taxable years in the temporary window that starts after December 31, 2025 and ends on an "applicable date" set by the bill. - Current subsidy recipients. The rule that raised premium assistance amounts through 2025 would no longer be limited to 2025 and instead would continue through the same budget-linked applicable date, extending higher subsidies for marketplace enrollees. *The bill would be financed by tariff revenue collected after January 19, 2025, and sets an applicable date so estimated increases in outlays and revenue reductions do not exceed budget offsets tied to those tariffs.*

## Provisions PRIA read

- Premium tax credits for higher incomes: benefit, high. If enacted, more people who buy ACA marketplace plans could get premium tax credits. For tax years starting after December 31, 2025 and before an "applicable date," the rule that blocks help above 400% of the poverty line would not apply. The larger, enhanced credit amounts would also continue unti…

## Related bills

- 119-hr-9877: Health Equity and Accountability Act of 2026
- 119-hr-3151: SHIPS for America Act of 2025
- 119-hr-6900: American Affordability Act of 2025
- 119-hr-7977: Energy Bills Relief Act
- 119-hr-7973: Momnibus Act
- 119-hr-2945: Housing for All Act of 2025

## Sources
- [119-hr-6246 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/6246)

## Related
- [119-hr-9877: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-hr-9877)
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [119-hr-6900: American Affordability Act of 2025](https://policyrisk.com/legislation/119-hr-6900)
- [119-hr-7977: Energy Bills Relief Act](https://policyrisk.com/legislation/119-hr-7977)
- [119-hr-7973: Momnibus Act](https://policyrisk.com/legislation/119-hr-7973)
- [119-hr-2945: Housing for All Act of 2025](https://policyrisk.com/legislation/119-hr-2945)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-6246 (as of 2026-04-21).