119:s:3386 — Health Care Freedom for Patients Act of 2025

Sponsor

Introduced by

R Republican · Senate · ID R+18

Chairman · Senate Committee on Finance

Latest action

Cloture on the motion to proceed to the measure not invoked in Senate by Yea-Nay Vote. 51 - 48. Record Vote Number: 643. (CR S8654)

Action timeline

Every recorded action on this bill, newest first. Stage badges color-code the legislative path.

Dec 11, 2025

floor Motion to proceed to measure considered in Senate. (CR S8643)

Dec 11, 2025

floor Cloture on the motion to proceed to the measure not invoked in Senate by Yea-Nay Vote. 51 - 48. Record Vote Number: 643. (CR S8654)

Dec 09, 2025

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

Dec 09, 2025

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

Dec 09, 2025

floor Motion to proceed to consideration of measure withdrawn in Senate.

Text versions

Each stage of the bill — official text published by GPO. Click any format to read on congress.gov / govinfo.

Dec 08, 2025 Placed on Calendar Senate

XML

CRS summaries

Plain-English summaries written by the Congressional Research Service — neutral, nonpartisan staff who summarize bills as they advance through stages. The authoritative description of what each version of the bill does.

00 Introduced in Senate Dec 08, 2025

Health Care Freedom for Patients Act of 2025 This bill allows certain individuals with health savings accounts (HSAs) to receive federal payments. It also restricts payments under Medicaid and the Children's Health Insurance Program (CHIP) regarding certain noncitizens and restricts coverage of gender-transition procedures. Specifically, the bill provides funds for the Department of Health and Human Services to deposit payments into an individual’s HSA during 2026-2027 if the individual has a bronze or catastrophic plan through a health insurance exchange, is between the ages of 18 and 64, and has income up to 700% of the federal poverty level (FPL). Individuals may receive $1,000 or $1,500 annually, depending on age. The bill also provides funds, beginning in 2027, for cost-sharing reductions for certain individuals who have a silver plan and income up to 250% of the FPL. Beginning in 2027, the bill allows any individual to enroll in a catastrophic plan. Currently, these plans are limited to those under the age of 30 or who have certain exemptions. The bill also reduces the enhanced federal matching rate for the Medicaid expansion population in states that provide any health benefits for individuals who are not qualified aliens under federal law. The bill makes Medicaid and CHIP coverage of individuals while their status is being verified optional and conditions federal payment during this period on verification. Finally, the bill prohibits exchange plans from covering gender-transition procedures as an essential health benefit and prohibits federal payment under Medicaid and CHIP for these procedures.

via Congressional Research Service · published through congress.gov

Changelog

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How a bill moves through Congress. Each stage produces a new official text. The diff between them shows what changed at that step.

`ih` / `is` — Introduced in House / Senate. First filed version.

`rfh` / `rfs` — Referred to a committee for review.

`rh` / `rs` — Reported back by the committee to the floor (often with amendments — this is where most language changes happen).

`pcs` / `pch` — Placed on Calendar for floor consideration.

`eh` / `es` — Engrossed. Passed by the originating chamber. Text is now what was actually voted on.

`rdh` / `rds` — Received by the other chamber.

`eah` / `eas` — Engrossed Amendment. The other chamber passed an amended version.

`ath` / `ats` — Agreed to. Both chambers settled on the same text.

`enr` — Enrolled. Final reconciled text, sent to the President.

`pl` — Public Law. Signed by the President. It's now law.

`pp` — Public Print. Official printing post-enactment.

Most bills die before `eh`/`es`. Going from `pcs` → `enr` is the full path through both chambers.

Line-level diff between text versions of this bill — what actually changed at each legislative stage. Only one text version published so far.

Only the Placed on Calendar (Senate) version is available — nothing to diff yet.

Lobbying activity

Organizations whose LDA filings reference this bill, ranked by filing count. Position not disclosed — LDA does not require lobbyists to report support / oppose / monitor. Bill-number references can be stale (lobbyists sometimes copy text year-over-year), so verify against the filing description.

HIGHMARK INC

HCRTAX

3

filings · 2026 Q4

HEALTHEQUITY, INC.

HCRTAX

2

filings · 2026 Q4

HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)

INS

2

filings · 2026 Q4

FEDERATION OF AMERICAN HOSPITALS

HCR

1

filings · 2025 Q4

CENTER ON BUDGET AND POLICY PRIORITIES

HCR

1

filings · 2025 Q4

SUSAN B ANTHONY LIST

BUDFAMHCRINS

1

filings · 2025 Q4

AFL-CIO

HCR

1

filings · 2025 Q4

NATIONAL MULTIPLE SCLEROSIS SOCIETY

HCR

1

filings · 2026 Q1

PLANNED PARENTHOOD FEDERATION OF AMERICA INC

HCR

1

filings · 2025 Q4

ECONOMIC SECURITY PROJECT ACTION, INC. AND ITS AFFILIATES

HCR

1

filings · 2025 Q4

via Senate LDA · self-reported quarterly. Filing count = filings mentioning this bill (no position required), not money spent on it. Click a client to see all bills they've filed on.

Cosponsors (1)

Members who signed on to support this bill.

Cassidy R