# 119-s-46: Health Care Affordability Act of 2025

119-s-46, Health Care Affordability Act of 2025, is a 119th Congress bill sponsored by Sen. Shaheen, Jeanne [D-NH] (D-NH); status introduced; PRIA reads it as touching household money (as of 2026-10-17).

- Canonical: https://policyrisk.com/legislation/119-s-46
- As of: 2026-10-17
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-46
- Congress: 119
- Title: Health Care Affordability Act of 2025
- Status: introduced
- Introduced: 2025-01-09
- Sponsor: Sen. Shaheen, Jeanne [D-NH] (D-NH)
- Cosponsors: 44
- Policy area: Taxation
- Touches household money: yes
- Last recorded action: 2026-10-17

## Summary

**Permanently expands and increases premium tax credits** for people who buy marketplace health insurance by making the ARPA and IRA changes permanent and removing the 400% income cap. The bill would apply to taxable years beginning after December 31, 2025. - Families and lower-income households — Would increase premium tax credit amounts and reduce monthly premiums by keeping the ARPA and IRA lower contribution rates. - Higher-income taxpayers — Would allow people with incomes above 400% of the federal poverty level to qualify for the premium tax credit. - All marketplace shoppers — Replaces the current formula with a sliding scale across six income tiers so household premium shares rise smoothly and top out at 8.5%.

## Cosponsors (44)

- Sen. Baldwin, Tammy [D-WI] (D-WI), 2025-01-09T00:00:00.000Z
- Sen. Schumer, Charles E. [D-NY] (D-NY), 2025-01-09T00:00:00.000Z
- Sen. Wyden, Ron [D-OR] (D-OR), 2025-01-09T00:00:00.000Z
- Sen. Blumenthal, Richard [D-CT] (D-CT), 2025-01-09T00:00:00.000Z
- Sen. King, Angus S., Jr. [I-ME] (I-ME), 2025-01-09T00:00:00.000Z
- Sen. Hassan, Margaret Wood [D-NH] (D-NH), 2025-01-09T00:00:00.000Z
- Sen. Welch, Peter [D-VT] (D-VT), 2025-01-09T00:00:00.000Z
- Sen. Kaine, Tim [D-VA] (D-VA), 2025-01-09T00:00:00.000Z
- Sen. Coons, Christopher A. [D-DE] (D-DE), 2025-01-09T00:00:00.000Z
- Sen. Warren, Elizabeth [D-MA] (D-MA), 2025-01-09T00:00:00.000Z
- Sen. Durbin, Richard J. [D-IL] (D-IL), 2025-01-09T00:00:00.000Z
- Sen. Murray, Patty [D-WA] (D-WA), 2025-01-09T00:00:00.000Z
- Sen. Warnock, Raphael G. [D-GA] (D-GA), 2025-01-09T00:00:00.000Z
- Sen. Gillibrand, Kirsten E. [D-NY] (D-NY), 2025-01-09T00:00:00.000Z
- Sen. Reed, Jack [D-RI] (D-RI), 2025-01-09T00:00:00.000Z
- Sen. Duckworth, Tammy [D-IL] (D-IL), 2025-01-09T00:00:00.000Z
- Sen. Van Hollen, Chris [D-MD] (D-MD), 2025-01-09T00:00:00.000Z
- Sen. Cortez Masto, Catherine [D-NV] (D-NV), 2025-01-09T00:00:00.000Z
- Sen. Schatz, Brian [D-HI] (D-HI), 2025-01-09T00:00:00.000Z
- Sen. Padilla, Alex [D-CA] (D-CA), 2025-01-09T00:00:00.000Z
- Sen. Smith, Tina [D-MN] (D-MN), 2025-01-09T00:00:00.000Z
- Sen. Klobuchar, Amy [D-MN] (D-MN), 2025-01-09T00:00:00.000Z
- Sen. Rosen, Jacky [D-NV] (D-NV), 2025-01-09T00:00:00.000Z
- Sen. Kelly, Mark [D-AZ] (D-AZ), 2025-01-09T00:00:00.000Z
- Sen. Booker, Cory A. [D-NJ] (D-NJ), 2025-01-09T00:00:00.000Z
- Sen. Whitehouse, Sheldon [D-RI] (D-RI), 2025-01-09T00:00:00.000Z
- Sen. Merkley, Jeff [D-OR] (D-OR), 2025-01-09T00:00:00.000Z
- Sen. Schiff, Adam B. [D-CA] (D-CA), 2025-01-09T00:00:00.000Z
- Sen. Warner, Mark R. [D-VA] (D-VA), 2025-01-09T00:00:00.000Z
- Sen. Markey, Edward J. [D-MA] (D-MA), 2025-01-09T00:00:00.000Z
- Sen. Luján, Ben Ray [D-NM] (D-NM), 2025-01-09T00:00:00.000Z
- Sen. Hirono, Mazie K. [D-HI] (D-HI), 2025-01-09T00:00:00.000Z
- Sen. Bennet, Michael F. [D-CO] (D-CO), 2025-01-09T00:00:00.000Z
- Sen. Hickenlooper, John W. [D-CO] (D-CO), 2025-01-09T00:00:00.000Z
- Sen. Peters, Gary C. [D-MI] (D-MI), 2025-01-09T00:00:00.000Z
- Sen. Fetterman, John [D-PA] (D-PA), 2025-01-09T00:00:00.000Z
- Sen. Heinrich, Martin [D-NM] (D-NM), 2025-01-09T00:00:00.000Z
- Sen. Kim, Andy [D-NJ] (D-NJ), 2025-01-09T00:00:00.000Z
- Sen. Slotkin, Elissa [D-MI] (D-MI), 2025-01-09T00:00:00.000Z
- Sen. Murphy, Christopher [D-CT] (D-CT), 2025-01-13T00:00:00.000Z
- Sen. Blunt Rochester, Lisa [D-DE] (D-DE), 2025-01-23T00:00:00.000Z
- Sen. Gallego, Ruben [D-AZ] (D-AZ), 2025-04-09T00:00:00.000Z
- Sen. Alsobrooks, Angela D. [D-MD] (D-MD), 2025-04-28T00:00:00.000Z
- Sen. Ossoff, Jon [D-GA] (D-GA), 2025-07-21T00:00:00.000Z

## Provisions PRIA read

- More health premium tax help: benefit, high. This bill would change the refundable premium tax credit for Marketplace health plans. It would replace the current percentage rule with a six-tier table that sets the share of income you must pay toward premiums. The tiers are: up to 150% of poverty 0%; 150%–200% rising 0%→2%; 200%–250% rising 2%→…

## Related bills

- 119-s-5108: Right to IVF Act of 2026
- 119-s-1503: Equality Act
- 119-s-2150: Women’s Health Protection Act of 2025
- 119-s-2523: John R. Lewis Voting Rights Advancement Act of 2025
- 119-s-1115: Paycheck Fairness Act
- 119-s-3214: Background Check Expansion Act

## Sources
- [119-s-46 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/46)

## Related
- [119-s-5108: Right to IVF Act of 2026](https://policyrisk.com/legislation/119-s-5108)
- [119-s-1503: Equality Act](https://policyrisk.com/legislation/119-s-1503)
- [119-s-2150: Women’s Health Protection Act of 2025](https://policyrisk.com/legislation/119-s-2150)
- [119-s-2523: John R. Lewis Voting Rights Advancement Act of 2025](https://policyrisk.com/legislation/119-s-2523)
- [119-s-1115: Paycheck Fairness Act](https://policyrisk.com/legislation/119-s-1115)
- [119-s-3214: Background Check Expansion Act](https://policyrisk.com/legislation/119-s-3214)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-46 (as of 2026-10-17).