# 119-s-3391: Accountability for Better Care Act of 2025

119-s-3391, Accountability for Better Care Act of 2025, is a 119th Congress bill sponsored by Sen. Husted, Jon [R-OH] (R-OH); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-s-3391
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-3391
- Congress: 119
- Title: Accountability for Better Care Act of 2025
- Status: introduced
- Introduced: 2025-12-09
- Sponsor: Sen. Husted, Jon [R-OH] (R-OH)
- Cosponsors: 0
- Policy area: Taxation
- Touches household money: yes
- Last recorded action: 2026-04-21

## 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.

## Provisions PRIA read

- Higher Marketplace premium tax credits: benefit, high. 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%…
- Funding for reduced cost-sharing payments: benefit, medium. 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.
- Abortion coverage blocked in Marketplace plans: cost, high. 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 cover…
- Reduced cost-sharing limited to citizens: cost, high. 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-pock…

## Related bills

- 119-s-1541: SHIPS for America Act of 2025
- 119-s-2121: SUPPORT for Patients and Communities Reauthorization Act of 2025
- 119-s-4952: Protecting American Taxpayers Act
- 119-s-4378: Protecting American Taxpayers Act
- 119-s-3903: Railway Safety Act of 2026
- 119-s-5154: CHAT Act 2.0

## Sources
- [119-s-3391 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/3391)

## Related
- [119-s-1541: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-s-1541)
- [119-s-2121: SUPPORT for Patients and Communities Reauthorization Act of 2025](https://policyrisk.com/legislation/119-s-2121)
- [119-s-4952: Protecting American Taxpayers Act](https://policyrisk.com/legislation/119-s-4952)
- [119-s-4378: Protecting American Taxpayers Act](https://policyrisk.com/legislation/119-s-4378)
- [119-s-3903: Railway Safety Act of 2026](https://policyrisk.com/legislation/119-s-3903)
- [119-s-5154: CHAT Act 2.0](https://policyrisk.com/legislation/119-s-5154)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-3391 (as of 2026-04-21).