HR 1692 United States House · 118th Congress

Health Care Affordability Act of 2023

HR 1692, the Health Care Affordability Act of 2023, adjusts how health insurance subsidies are calculated for people buying coverage through the marketplace. It replaces the previous subsidy formula with a sliding scale based on income, where households earning up to 150% of the poverty line pay 0% of premiums, and those at 400% or more pay 8.5%. The change applies to all income tiers between these points, with percentages increasing incrementally (e.g., 2% for 150-200% income). This directly affects individuals purchasing health insurance through the marketplace who qualify for subsidies under the Affordable Care Act. The bill amends Section 36B of the Internal Revenue Code and takes effect for tax years beginning after December 31, 2022.
Bill status in committee 1 of 4 stages cleared
Introduction
Mar 2023
Committee Review
Floor Vote
President
Introduced Mar 22, 2023 Last action Dec 17, 2024
Floor votes

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Full legislative history

Actions timeline

Total actions
3
Key actions
0
Committee
2
Dec 17, 2024
Committee
Referred to the Subcommittee on Health.
lower
Mar 22, 2023
Committee
Referred to the House Committee on Ways and Means.
lower
Mar 22, 2023
Introduced
Introduced in House
lower
1 primary · 71 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Lauren Underwood
Lauren Underwood
DDemocratic
IL
14
Co
Photo of Adam B. Schiff
Adam B. Schiff
DDemocratic
CA
n/a
Co
Photo of Andrea Salinas
Andrea Salinas
DDemocratic
OR
6
Co
Photo of Angie Craig
Angie Craig
DDemocratic
MN
2
Co
Photo of Ann M. Kuster
Ann M. Kuster
DDemocratic
NH
2
Co
Photo of Anna G. Eshoo
Anna G. Eshoo
DDemocratic
CA
16
Co
Photo of Barbara Lee
Barbara Lee
DDemocratic
CA
12
Co
Photo of Bennie G. Thompson
Bennie G. Thompson
DDemocratic
MS
2
Co
Photo of Betty McCollum
Betty McCollum
DDemocratic
MN
4
Co
Photo of Bill Pascrell, Jr.
Bill Pascrell, Jr.
DDemocratic
NJ
9
Co
Photo of Bradley Scott Schneider
Bradley Scott Schneider
DDemocratic
IL
10