House Bill Would Let States Opt Out of ACA, Expand HSAs and Add Insurance Choices
This bill is currently sitting in four different House committees where it must be reviewed before it can move forward. Nothing has happened with this proposal since December 2025. Because no action has been taken in six months, the bill is considered stalled.
No action since December 2025
How this policy affects specific groups of people
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.

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.

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.
No votes or related bills recorded for this bill yet.
Document Type
Congressional Bill
Official Title
Putting Patients First Healthcare Freedom Act
Analysis generated by AI. Always verify with official sources.