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Congress·Introduced·S. 3385

Lower Health Care Costs Act

Senate Democrats Push to Extend Enhanced ACA Premium Tax Credits Through 2028

Legislative Progress

Senate
House
President
Law

Key Points

  • Congress would extend the larger health insurance premium tax credits through 2028, keeping many monthly premiums lower.
  • The bill would keep extra help available for some families even if their income is above about four times the poverty level.
  • These changes would apply starting with tax years after December 31, 2025 (coverage and tax filing tied to 2026 and later).
  • If it becomes law, people buying coverage on their own may keep getting more financial help to pay premiums, instead of seeing help shrink after 2025.
HealthcareTaxes

Impact Analysis

Personal Impact

Life & Work

Many small business owners and self-employed people rely on the ACA marketplace for health insurance since they don't have employer-sponsored coverage. Extending the enhanced premium tax credits keeps their monthly costs lower and ensures those earning above 400% of the poverty level can still get financial help. Without this extension, some could see premium increases of hundreds of dollars per month.

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ImpactCertaintyScopeDurationSentiment

Programs

Disabilities

Milestones

5 milestones6 actions
Dec 11, 2025Senate

Cloture on the motion to proceed to the measure not invoked in Senate by Yea-Nay Vote. 51 - 48. Record Vote Number: 644. (CR S8654-8655)

The Senate is voting on whether to even start debating this bill. This vote can be used to block bills before discussion begins.

Dec 9, 2025Senate

Cloture motion on the motion to proceed to the measure presented in Senate. (CR S8567)

The Senate is voting on whether to even start debating this bill. This vote can be used to block bills before discussion begins.

Dec 9, 2025Senate

Motion to proceed to consideration of measure made in Senate. (CR S8567)

The Senate is voting on whether to even start debating this bill. This vote can be used to block bills before discussion begins.

Dec 8, 2025Senate

Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 284.

The bill is now on the schedule for the full chamber to consider. It's in line for debate and a vote.

Dec 8, 2025Senate

Introduced in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time. (Legislative Day December 4, 2025). (text: CR S8530-8531)

The bill was officially filed and given a number. It now enters the legislative queue.

Vote Results

1 vote
SenateFailedClotureDec 11, 2025

On the Cloture Motion

51
48
Democrat
450
Republican
448 · 1
Independent
20
View full roll call

News

HuffPostunknown

Millions More Americans Uninsured After Lapse Of Premium Subsidies

POLITICOunknown

Obamacare Pulse check

news_articleCenter Left

Inside Congress' failed battle to keep Obamacare premiums from skyrocketing

news_articleCenter

Negotiators Say Talks to Restore ACA Subsidies Likely Dead

news_articleCenter Left

'A life-or-death issue': Obamacare premiums have skyrocketed. New England is feeling the crunch.

Source Information

Document Type

Congressional Bill

Official Title

Lower Health Care Costs Act

Bill NumberS 3385
Congress119th Congress
ChamberSenate
Latest ActionCloture on the motion to proceed to the measure not invoked in Senate by Yea-Nay Vote. 51 - 48. Record Vote Number: 644. (CR S8654-8655)

Sponsor

Political Response

Analysis generated by AI. Always verify with official sources.