Putting Patients First Healthcare Freedom Act
House Bill Would Let States Opt Out of ACA, Expand HSAs and Add Insurance Choices
Stalled
No legislative action in over 90 days.
Legislative Progress
Key Points
- Lets states opt out of parts of the Affordable Care Act starting in 2026 if they run a high-risk pool; people who would get exchange subsidies could get that money paid into a special health account instead.
- Expands health savings accounts so more people can use them, including many older adults on Medicare; raises how much some people can put in, and allows using the account to buy insurance.
- Creates or locks in more insurance choices, like employer groups banding together to buy coverage, employers helping workers buy their own plans, and longer-lasting short-term plans.
- Sets up a federal reinsurance program (2026–2030) to help insurers pay very high medical bills, with the goal of lowering premiums; also includes rules meant to reduce waste and improper sign-ups in exchange plans.
- Blocks many kinds of federal funding for abortions (with exceptions for rape, incest, or to save the mother’s life) and for many gender transition procedures; also restricts using the new health accounts for those services.
Impact Analysis
Personal Impact
How this policy affects specific groups of people
State Impacts
Milestones
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and Workforce, and the Judiciary, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Sent to a congressional committee for expert review. The committee decides whether this bill moves forward.
Introduced in House
The bill was officially filed and given a number. It now enters the legislative queue.
Votes
No votes have been recorded for this legislation yet.
Related News
2 articles
Rep. Biggs Unveils Putting Patients First Act to Overhaul Obamacare
Covers the bill’s main components: expanded HSAs (including Medicare Part A), redirecting exchange subsidies into health accounts in opting-in states with high-risk pools, expanded short-term/catastrophic options, and restrictions on abortion and transition funding.

Andy Biggs to Newsmax: GOP Must Back Putting Patients First Act
Interview-focused story describing the bill as a consolidated package expanding health accounts, purchasing groups, transparency, and addressing exchange subsidy structure and improper enrollments; includes Biggs’ framing and rationale.
Source Information
Document Type
Congressional Bill
Official Title
Putting Patients First Healthcare Freedom Act
Data Sources
Sponsor
Cosponsors
(2)Analysis generated by AI. Always verify with official sources.