Protecting Health Care and Lowering Costs Act of 2025
Impact
One significant change proposed by HB 4849 is the adjustment in eligibility criteria for premium tax credits. Currently, the bill proposes to amend the Internal Revenue Code to eliminate the 400 percent income cap for receiving these credits. This change is expected to widen the eligibility pool, thereby allowing more individuals and families to access affordable health insurance coverage. The anticipated outcome is that those at various income tiers will have their percentage for monthly premium payments adjusted to be more manageable, which could lead to increased enrollment in health insurance plans.
Summary
House Bill 4849, titled the 'Protecting Health Care and Lowering Costs Act of 2025', primarily aims to repeal specific health-related provisions from previous legislation established through a reconciliation process. This bill seeks to eliminate changes made under Subtitle B of Title VII of Public Law 119–21, effectively reinstating the previous regulatory framework that was modified by those provisions. The goal of the repeal is to simplify the regulatory landscape surrounding health care and insurance, which proponents argue is necessary for delivering better health care outcomes while ensuring that costs do not escalate for consumers.
Contention
While the bill has the support of those advocating for lower health care costs, opposition exists from individuals concerned that repealing the health-related provisions may lead to re-establishment of barriers for lower-income individuals in accessing affordable care. Critics argue that reverting to previous regulations could undo progress made in expanding access to health coverage for many vulnerable populations. This tension reflects broader debates within legislative discussions about how best to balance cost control with accessibility in health care policies.
Improving Health Insurance Affordability Act of 2023 This bill expands the eligibility of taxpayers for the refundable tax credit for coverage under a qualified health plan and increases cost-sharing subsidies under the Patient Protection and Affordable Care Act.