PRIA Logo™
119-s-3391119th CongressWALLET

Accountability for Better Care Act of 2025

Sponsored By: Senator Husted, Jon [R-OH]

Introduced

Summary

Would extend and recalibrate the enhanced premium tax credits for Marketplace health plans. The bill would change the credit schedule and calculation, add a small minimum premium payment, and tighten who can receive credits and reduced cost sharing.

Personalized for You

How does this bill affect your finances?

Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.

Free to download

Bill Overview

Analyzed Economic Effects

4 provisions identified: 2 benefits, 2 costs, 0 mixed.

Higher Marketplace premium tax credits

If enacted, this bill would expand premium tax credits for people who buy Marketplace coverage. It would let credits reach up to 600 percent of the poverty level for tax years starting after December 31, 2026. The bill would add new percentage bands (for example 8.5%, 10.5%, 12.5%, 14.5%, and 16.5% in specified income ranges) described as applying from January 1, 2028. It would also limit monthly assistance so it cannot be more than your monthly premium minus $5 for tax years starting after December 31, 2025.

Abortion coverage blocked in Marketplace plans

If enacted, the bill would say a health plan that provides abortion benefits generally would not count as a Marketplace qualified health plan. Two exceptions would remain: coverage when the mother's life is endangered and when the pregnancy is from rape or incest. If you need or want abortion coverage, fewer Marketplace plans may offer it and your costs could rise.

Reduced cost-sharing limited to citizens

If enacted, the bill would make reduced cost-sharing (CSR) eligibility depend on U.S. citizenship rather than lawful presence for plan years that begin after December 31, 2025. If you are not a U.S. citizen, you would no longer qualify for CSR help for those plan years. This could raise out-of-pocket costs for noncitizen enrollees who previously got CSR.

Funding for reduced cost-sharing payments

If enacted, the bill would let the Treasury provide whatever sums are needed to make reduced cost-sharing (CSR) payments for Marketplace plan years that start on or after January 1, 2027. This would support lower out-of-pocket costs for enrollees who remain eligible under the program rules.

Sponsors & CoSponsors

Sponsor

Husted, Jon [R-OH]

OH • R

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

No roll call votes available for this bill.

View on Congress.gov
Back to Legislation