S 3389 United States Senate · 119th Congress

Lowering Health Care Costs for Americans Act

The Lowering Health Care Costs for Americans Act (S 3389) creates Healthcare Affordability Accounts that would receive premium tax credits instead of direct payments to consumers, with income-based limits on premium assistance ranging from $10 to $40 per month depending on income level. The bill prohibits coverage of gender transition procedures and abortion services under qualified health plans, while requiring detailed price transparency for hospitals, clinical diagnostic laboratories, imaging services, and ambulatory surgical centers to help consumers compare costs. It also mandates itemized bills for healthcare providers, including plain language descriptions of services, billing codes, and payment details, to improve consumer understanding of healthcare costs. The provisions apply to plan years beginning after 2026, with implementation timelines varying by section.
Bill status in committee 1 of 4 stages cleared
Introduction
Dec 2025
Committee Review
Floor Vote
President
Introduced Dec 9, 2025 Last action Dec 9, 2025
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Full legislative history

Actions timeline

Total actions
2
Key actions
0
Committee
1
Dec 9, 2025
Committee
Read twice and referred to the Committee on Finance.
upper
Dec 9, 2025
Introduced
Introduced in Senate
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Roger Marshall
Roger Marshall
RRepublican
KS
n/a