# 119-s-3386: Health Care Freedom for Patients Act of 2025

119-s-3386, Health Care Freedom for Patients Act of 2025, is a 119th Congress bill sponsored by Sen. Crapo, Mike [R-ID] (R-ID); status in_committee; PRIA reads it as touching household money (as of 2026-08-01).

- Canonical: https://policyrisk.com/legislation/119-s-3386
- As of: 2026-08-01
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-3386
- Congress: 119
- Title: Health Care Freedom for Patients Act of 2025
- Status: in_committee
- Introduced: 2025-12-08
- Sponsor: Sen. Crapo, Mike [R-ID] (R-ID)
- Cosponsors: 1
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-08-01

## Summary

**Creates Exchange plan HSAs and federal HSA payments for Marketplace enrollees.** This bill would set up a new type of HSA tied to Exchange plans and send monthly federal payments into those accounts to lower premiums for certain enrollees. - Families and Marketplace enrollees: would be eligible for monthly HSA deposits in 2026 and 2027 if age 18–64 and household income is at or below 700% of the federal poverty line. Payments are $1,000 per year for ages 18–49 and $1,500 per year for ages 50–64, prorated monthly, and excluded from gross income. - Plans and benefits: would let more lower‑premium and catastrophic plans join Exchange risk pools starting 2027 and creates appropriation authority for cost‑sharing reduction payments. CSR funds would be limited for plans that cover abortion except to save the mother’s life or in rape or incest. - States and safety net: would offer an 80% Federal Medical Assistance Percentage to states that cover certain nonqualified aliens starting late 2027 and would bar federal matching for Medicaid and CHIP for individuals without verified citizenship or satisfactory immigration status unless a state opts to continue aid during the reasonable opportunity period. *Provides $10.0 billion for HHS in FY 2026 and $10.0 billion in FY 2027 for the HSA contribution program and creates new appropriation authority for CSR payments, increasing federal outlays.*

## Cosponsors (1)

- Sen. Cassidy, Bill [R-LA] (R-LA), 2025-12-08T00:00:00.000Z

## Votes

| Date | Chamber | Question | Result | Yea | Nay |
| --- | --- | --- | --- | --- | --- |
| 2025-12-11T11:45:00.000Z | senate | On the Cloture Motion S. 3386 | Cloture Motion Rejected | 51 | 48 |

## Provisions PRIA read

- Temporary HSA payments for Exchange enrollees: benefit, medium. This bill would create a new "Exchange plan HSA" and have HHS deposit monthly payments into those HSAs for eligible months in 2026 and 2027. You would get 1/12 of $1,000 per month if aged 18–49, or 1/12 of $1,500 per month if aged 50–64, when you are enrolled in a bronze or catastrophic Exchange pl…
- Limits on public funding for transition care: cost, high. This bill would stop federal Medicaid money from paying for many gender-transition surgeries, implants, and certain hormones. If enacted, Exchange plans would not have to treat gender-transition procedures as essential health benefits starting with plan years on or after January 1, 2027. There are…
- More low‑premium plan choices, CSR limits: mixed, medium. This bill would let people buy more lower-premium Exchange plans by adding catastrophic enrollees to the Exchange risk pool and lifting prior limits starting with plan years on or after January 1, 2027. It would also let Congress fund cost-sharing reductions (CSR) from general Treasury appropriatio…

## Related bills

- 119-s-4744: Take Care of America’s Veterans Act
- 119-s-1748: Kids Online Safety Act
- 119-s-1949: Combating Violent and Dangerous Crime Act
- 119-s-836: Children and Teens’ Online Privacy Protection Act
- 119-s-3257: John A. Hauser Mental Health in Aviation Act
- 119-s-3752: SAVE America Act

## Sources
- [119-s-3386 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/3386)

## Related
- [119-s-4744: Take Care of America’s Veterans Act](https://policyrisk.com/legislation/119-s-4744)
- [119-s-1748: Kids Online Safety Act](https://policyrisk.com/legislation/119-s-1748)
- [119-s-1949: Combating Violent and Dangerous Crime Act](https://policyrisk.com/legislation/119-s-1949)
- [119-s-836: Children and Teens’ Online Privacy Protection Act](https://policyrisk.com/legislation/119-s-836)
- [119-s-3257: John A. Hauser Mental Health in Aviation Act](https://policyrisk.com/legislation/119-s-3257)
- [119-s-3752: SAVE America Act](https://policyrisk.com/legislation/119-s-3752)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-3386 (as of 2026-08-01).