H.R. 4849 · 119th Congress

Protecting Health Care and Lowering Costs Act of 2025

Introduced on Aug 1, 2025 by Adam Gray (D-CA-13). 142 cosponsors, all from the sponsor's party. Latest action (Aug 1, 2025): 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.

Stage
Introduced
Introduced
Aug 1, 2025
Cosponsors
142
0 from the other party
Policy area
Taxation
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Progress

The furthest stage the measure reached. Simple and concurrent resolutions do not go to the President.

  1. Introduced
  2. 2Reported by committee
  3. 3Passed one chamber
  4. 4Passed both chambers
  5. 5Sent to the President
  6. 6Became law

Official title

To repeal health-related portions of An Act to provide for reconciliation pursuant to title II of H. Con. Res. 14, and for other purposes.

Summary

By the Congressional Research Service (Introduced in House, Aug 1, 2025). Public domain.

Protecting Health Care and Lowering Costs Act 2025

This bill makes permanent temporary provisions that generally expand eligibility for and increase the amount of the premium tax credit. This bill also repeals multiple Medicaid, Medicare, and health-related tax provisions enacted by the One Big Beautiful Bill Act (OBBBA).

Currently, eligible taxpayers may claim the premium tax credit, which applies toward the cost of obtaining health insurance through health insurance exchanges. To qualify, a taxpayer’s household income must meet or exceed 100% of the federal poverty level (FPL) and, after 2025, may not exceed 400% of the FPL (maximum income limit). For 2021-2025, the maximum income limit is eliminated, which generally expands eligibility for the premium tax credit.

Further, under current law, the amount of the premium tax credit is partially based on the taxpayer’s household income multiplied by the applicable percentage. The applicable percentage varies depending on which of six income ranges (adjusted for inflation after 2025) the taxpayer’s household income falls within. For 2021-2025, the applicable percentages are lowered and the adjustment of the applicable percentages for inflation is eliminated, which generally increases the amount of the premium tax credit.

The bill permanently eliminates the 400% maximum income limit, lowers the applicable percentages, and eliminates the inflation adjustment for the applicable percentages.

Finally, the bill repeals multiple Medicaid, Medicare, and health-related tax provisions enacted by the OBBBA, including

  • certain Medicare and Medicare eligibility and verification requirements,
  • the reduced window for retroactive Medicaid coverage, and
  • premium tax credit verification requirements.

Sponsor and cosponsors

Cosponsors by party as of the day they signed on. Original cosponsors signed on the day of introduction.

Adam GrayD-CA-13Sponsor

Democrats · 142

Roll calls

Recorded votes on the measure. Most measures move by voice vote or unanimous consent, which record no individual positions.

No recorded roll call on this measure: it moved by voice vote or unanimous consent, or has not reached the floor.

History

Every action as published, oldest first. Roll calls link to how each member voted.

  1. Aug 1, 2025Introduced in House
  2. Aug 1, 2025Introduced in House
  3. Aug 1, 2025 · HouseReferred 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.
  4. Aug 1, 2025 · HouseReferred 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.

Committees

Committees and subcommittees the measure was referred to.

Agencies in its committees' jurisdiction

Analisa's mapping of committee jurisdiction to federal agencies; the bill may touch others, or none of these.

Who lobbied on it

Organizations whose lobbying reports (LD-2) name this measure. Spending is what they reported for those quarters on all issues, not on this measure alone.

  1. AMERICAN NURSES ASSOCIATION4 reports
    $810K reported (all issues)
  2. AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION4 reports
    $1.3M reported (all issues)
  3. American Federation of Teachers4 reports
    $1.8M reported (all issues)
  4. HADASSAH, THE WOMEN'S ZIONIST ORGANIZATION OF AMERICA, INC.4 reports
    $240K reported (all issues)
  5. NATIONAL COMMITTEE TO PRESERVE SOCIAL SECURITY AND MEDICARE4 reports
    $800K reported (all issues)
  6. National Association of Pediatric Nurse Practitioners4 reports
    $96K reported (all issues)
  7. National Council of Jewish Women4 reports
    $40K reported (all issues)
  8. National League for Nursing4 reports
    $114.6K reported (all issues)
  9. P Street Project, Inc.4 reports
    $60K reported (all issues)
  10. Valley Children's Healthcare4 reports
    $120K reported (all issues)
  11. American Medical Association3 reports
    $18.1M reported (all issues)Federal contractor: AMERICAN MEDICAL ASSOCIATION$371K in contracts, FY2026AI match · 99%
  12. Economic Security Project Action3 reports
    $240K reported (all issues)
  13. Service Employees International Union CTW-CLC3 reports
    $805K reported (all issues)
  14. AMERICAN FEDERATION OF STATE, COUNTY AND MUNICIPAL EMPLOYEES2 reports
    $1.5M reported (all issues)
  15. SOUTHERN POVERTY LAW CENTER, INC.2 reports
    $700K reported (all issues)
  16. American Civil Liberties Union1 report
    $400K reported (all issues)
  17. COMMUNICATIONS WORKERS OF AMERICA1 report
    $431K reported (all issues)
  18. CONFERENCE OF PROVINCIALS OF NORTH AMERICA1 report
    $20K reported (all issues)
  19. NATIONAL WOMEN'S LAW CENTER ACTION FUND1 report
    $85K reported (all issues)
  20. Planned Parenthood Federation of America, Inc.1 report
    $76.9K reported (all issues)

Reports filed in 2025, 2026.

Sources and method

Every figure on this page traces to these records.

  • Bill status: bills and resolutions, sponsors, actions, subjects and CRS summaries (U.S. Government Publishing Office (GovInfo), from Congress.gov (Library of Congress))GovInfo Bill Status bulk data (Congress.gov; summaries by the Congressional Research Service) · data current to Oct 9, 2026 · loaded Oct 9, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Members of Congress, their terms, committees and identifiers (The @unitedstates project (from the Biographical Directory of the U.S. Congress, the House and the Senate))unitedstates/congress-legislators: legislators, committees and current committee membership · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: CC0 1.0 (public domain dedication)
  • House roll-call votes (Office of the Clerk, U.S. House of Representatives)Office of the Clerk, U.S. House of Representatives, roll-call vote records · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Senate roll-call votes and DW-NOMINATE scores (Voteview (UCLA Department of Political Science))Lewis, Jeffrey B., Keith Poole, Howard Rosenthal, Adam Boche, Aaron Rudkin, and Luke Sonnet (2026). Voteview: Congressional Roll-Call Votes Database. https://voteview.com/ · data current to Oct 3, 2026 · loaded Oct 3, 2026 · license: Free to use with the required citation
  • Lobbying disclosures (LD-1 registrations, LD-2 quarterly reports, LD-203 contribution reports) (Clerk of the U.S. House of Representatives)Clerk of the House, Lobbying Disclosure Act filings (organizations only; lobbyists' names are not loaded) · data current to Oct 9, 2026 · loaded Oct 9, 2026 · license: Public domain (U.S. Government work, 17 U.S.C. § 105)
  • Positions are shown only where a roll call recorded them; voice votes and unanimous consent record none.
  • Money and votes are shown side by side; neither explains the other.