House Passes Lower Health Care Premiums for All Americans Act to Cut Costs for Small Businesses
The House passed this bill in December 2025 and sent it to the Senate for further review. Nothing has happened with the bill since it arrived in the Senate six months ago. It is currently stalled because the Senate has not scheduled any action to move it forward.
216–211
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The bill restricts federal cost-sharing reduction payments so they cannot go to any ACA marketplace plan that covers abortion, except in cases of rape, incest, or to save the mother's life. This could lead some insurers to drop abortion coverage from their plans to remain eligible for CSR funding, reducing reproductive health care options for women enrolled in marketplace plans.
Received in the Senate.
The Senate has received the House-passed bill and will decide whether to take it up.
Motion to reconsider laid on the table Agreed to without objection.
On passage Passed by the Yeas and Nays: 216 - 211 (Roll no. 349). (text: CR H5956-5966)
Passed/agreed to in House: On passage Passed by the Yeas and Nays: 216 - 211 (Roll no. 349).
The House of Representatives voted to approve this bill. It now goes to the Senate.
On motion to recommit Failed by the Yeas and Nays: 210 - 218 (Roll no. 348).
On Motion to Recommit
The 111-page bill would expand association health plans, fund cost-sharing reduction payments starting in 2027, and require transparency from PBMs. It also codifies rules allowing employers to give tax-free money to workers to buy their own coverage via CHOICE arrangements.
The act contains reforms including new reporting requirements for pharmacy benefit managers (PBMs) and a cost-sharing program. A core feature is support for association health plans, allowing small businesses and individuals to band together to negotiate lower group rates.
Document Type
Congressional Bill
Official Title
Lower Health Care Premiums for All Americans Act
Analysis generated by AI. Always verify with official sources.