HR 4849 United States House · 119th Congress

Protecting Health Care and Lowering Costs Act of 2025

This bill adjusts health insurance subsidies by modifying the premium tax credit structure under the Internal Revenue Code. It replaces previous income thresholds with a sliding-scale formula, increasing subsidies for households earning between 150% and 400% of the federal poverty level - reducing their required premium payments as income rises within these tiers. The changes apply to tax years beginning after December 31, 2025, directly affecting middle-income individuals and families purchasing coverage through health insurance marketplaces. It also repeals specific provisions from a prior reconciliation law related to health care.
Bill status in committee 1 of 4 stages cleared
Introduction
Aug 2025
Committee Review
Floor Vote
President
Introduced Aug 1, 2025 Last action Aug 1, 2025
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Full legislative history

Actions timeline

Total actions
2
Key actions
0
Committee
1
Aug 1, 2025
Committee
Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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.
lower
Aug 1, 2025
Introduced
Introduced in House
lower
1 primary · 141 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Adam Gray
Adam Gray
DDemocratic
CA
13
Co
Photo of Adam Smith
Adam Smith
DDemocratic
WA
9
Co
Photo of Adelita S. Grijalva
Adelita S. Grijalva
DDemocratic
AZ
7
Co
Photo of Al Green
Al Green
DDemocratic
TX
9
Co
Photo of Alexandria Ocasio-Cortez
Alexandria Ocasio-Cortez
DDemocratic
NY
14
Co
Photo of Ami Bera
Ami Bera
DDemocratic
CA
6
Co
Photo of Andrea Salinas
Andrea Salinas
DDemocratic
OR
6
Co
Photo of Angie Craig
Angie Craig
DDemocratic
MN
2
Co
Photo of April McClain Delaney
April McClain Delaney
DDemocratic
MD
6
Co
Photo of Becca Balint
Becca Balint
DDemocratic
VT
At-Large
Co
Photo of Bennie G. Thompson
Bennie G. Thompson
DDemocratic
MS
2