S. 3386 · 119th Congress

Health Care Freedom for Patients Act of 2025

Introduced on Dec 8, 2025 by Mike Crapo (R-ID). One cosponsor. Latest action (Dec 11, 2025): Cloture on the motion to proceed to the measure not invoked in Senate by Yea-Nay Vote. 51 - 48. Record Vote Number: 643. (CR S8654)

Stage
Introduced
Introduced
Dec 8, 2025
Cosponsors
1
0 from the other party
Policy area
Health
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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

A bill to provide a health savings account contribution to certain enrollees, to reduce health care costs, and for other purposes.

Subjects

  • Abortion
  • Child health
  • Department of Health and Human Services
  • Drug therapy
  • Executive agency funding and structure
  • Government information and archives
  • Health care costs and insurance
  • Health care coverage and access
  • Health programs administration and funding
  • Immigration status and procedures
  • Income tax credits
  • Intergovernmental relations
  • Medicaid
  • Poverty and welfare assistance
  • Sex, gender, sexual orientation discrimination
  • State and local finance
  • State and local government operations
  • Surgery and anesthesia

Summary

By the Congressional Research Service (Introduced in Senate, Dec 8, 2025). Public domain.

Health Care Freedom for Patients Act of 2025

This bill allows certain individuals with health savings accounts (HSAs) to receive federal payments. It also restricts payments under Medicaid and the Children's Health Insurance Program (CHIP) regarding certain noncitizens and restricts coverage of gender-transition procedures.

Specifically, the bill provides funds for the Department of Health and Human Services to deposit payments into an individual’s HSA during 2026-2027 if the individual has a bronze or catastrophic plan through a health insurance exchange, is between the ages of 18 and 64, and has income up to 700% of the federal poverty level (FPL). Individuals may receive $1,000 or $1,500 annually, depending on age.

The bill also provides funds, beginning in 2027, for cost-sharing reductions for certain individuals who have a silver plan and income up to 250% of the FPL.

Beginning in 2027, the bill allows any individual to enroll in a catastrophic plan. Currently, these plans are limited to those under the age of 30 or who have certain exemptions.

The bill also reduces the enhanced federal matching rate for the Medicaid expansion population in states that provide any health benefits for individuals who are not qualified aliens under federal law. The bill makes Medicaid and CHIP coverage of individuals while their status is being verified optional and conditions federal payment during this period on verification.

Finally, the bill prohibits exchange plans from covering gender-transition procedures as an essential health benefit and prohibits federal payment under Medicaid and CHIP for these procedures.

Sponsor and cosponsors

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

Mike CrapoR-IDSponsor

Republicans · 1

Roll calls

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

  1. On the Cloture Motion
    Dec 11, 2025· Senate· Cloture· Cloture Motion Rejected 51–48

History

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

  1. Dec 8, 2025Introduced in Senate
  2. Dec 8, 2025 · SenateIntroduced in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time. (Legislative Day December 4, 2025).
  3. Dec 8, 2025 · SenateRead the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 285.
  4. Dec 9, 2025 · SenateMotion to proceed to consideration of measure made in Senate. (CR S8567)
  5. Dec 9, 2025 · SenateCloture motion on the motion to proceed to the measure presented in Senate. (CR S8567)
  6. Dec 9, 2025 · SenateMotion to proceed to consideration of measure withdrawn in Senate.
  7. Dec 11, 2025 · SenateMotion to proceed to measure considered in Senate. (CR S8643)
  8. Dec 11, 2025 · SenateCloture on the motion to proceed to the measure not invoked in Senate by Yea-Nay Vote. 51 - 48. Record Vote Number: 643. (CR S8654)Senate · Roll call 643

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. Health Care Service Corporation, a Mutual Legal Reserve Company (HCSC)4 reports
    $30K reported (all issues)Federal contractor: HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY$16M in contracts, FY2026AI match · 100%
  2. American Bankers Association3 reports
    Federal contractor: AMERICAN BANKERS ASSOCIATIONAI match · 100%
  3. Association of American Medical Colleges3 reports
    $2.1M reported (all issues)Federal contractor: ASSOCIATION OF AMERICAN MEDICAL COLLEGESAI match · 100%
  4. HEALTHEQUITY, INC.3 reports
    $1.9M reported (all issues)Federal contractor: HEALTHEQUITY, INC.$26.9M in contracts, FY2026AI match · 97%
  5. HIGHMARK INC.3 reports
    $650K reported (all issues)
  6. American Civil Liberties Union2 reports
    $1.2M reported (all issues)
  7. American Medical Association2 reports
    $13.5M reported (all issues)Federal contractor: AMERICAN MEDICAL ASSOCIATION$371K in contracts, FY2026AI match · 99%
  8. Economic Security Project Action2 reports
    $190K reported (all issues)
  9. FEDERATION OF AMERICAN HOSPITALS2 reports
    $710K reported (all issues)
  10. NATIONAL MULTIPLE SCLEROSIS SOCIETY2 reports
    $143.6K reported (all issues)
  11. National Association of Pediatric Nurse Practitioners2 reports
    $48K reported (all issues)
  12. AFL-CIO1 report
    $760K reported (all issues)Federal contractor: AFL-CIO WORKING FOR AMERICA INSTITUTE, INC. (THE)AI match · 92%
  13. CENTER ON BUDGET AND POLICY PRIORITIES1 report
    $110K reported (all issues)
  14. National Taxpayers Union1 report
    $30K reported (all issues)
  15. PLANNED PARENTHOOD ACTION FUND INC.1 report
    $7,513 reported (all issues)
  16. Planned Parenthood Federation of America, Inc.1 report
    $94K reported (all issues)
  17. REPRODUCTIVE FREEDOM FOR ALL1 report
    $50K reported (all issues)
  18. Susan B Anthony List1 report
    $420K 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 10, 2026 · loaded Oct 10, 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 10, 2026 · loaded Oct 10, 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.