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S 3391 United States Senate · 119th Congress

Accountability for Better Care Act of 2025

The Accountability for Better Care Act of 2025 modifies key provisions of the Affordable Care Act's health insurance subsidies. It extends the premium tax credit period to 2027, increases the income threshold for higher-income households to 600% of the federal poverty level (from 400%), and ensures subsidies never exceed monthly premiums minus $5. The bill also requires U.S. citizenship for eligibility (replacing prior rules for non-citizens), and prohibits health plans covering abortions (except in cases of life endangerment, rape, or incest) from qualifying for subsidies. These changes apply to tax years beginning after December 31, 2025.
Issues: ✓ Budget & TaxesSupports Budget & TaxesExtends premium tax credit period and increases income threshold to 600% FPL, expanding tax relief for health insurance subsidies and increasing government spending on this program.90% confidence ✓ HealthcareSupports HealthcareExpands health insurance subsidies by raising income threshold to 600% FPL (from 400%) and extending subsidy period, increasing access for more households. Restrictions (citizenship requirement, abortion coverage ban) are secondary to core expansion.85% confidence ✗ ImmigrationOpposes ImmigrationRequires U.S. citizenship for ACA subsidies, restricting non-citizen immigrants' access to healthcare services.95% confidence
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 Jon Husted
Jon Husted
RRepublican
OH
n/a