II
118THCONGRESS
2
DSESSION S. 5194
To amend the Internal Revenue Code of 1986 to expand eligibility for the
refundable credit for coverage under a qualified health plan.
IN THE SENATE OF THE UNITED STATES
SEPTEMBER25, 2024
Mrs. S
HAHEEN(for herself, Ms. BALDWIN, Mr. SCHUMER, Mr. WYDEN, Mr.
R
EED, Mr. MERKLEY, Mr. BROWN, Mr. BLUMENTHAL, Mr. FETTERMAN,
Ms. R
OSEN, Mr. KAINE, Ms. KLOBUCHAR, Mrs. GILLIBRAND, Ms.
S
MITH, Mr. WHITEHOUSE, Mr. HICKENLOOPER, Ms. HIRONO, Mr.
L
UJA´N, Mr. WELCH, Mr. BENNET, Ms. BUTLER, Mr. TESTER, Mr. VAN
H
OLLEN, Mr. WARNER, Ms. WARREN, Mr. COONS, Mr. PETERS, Mr.
D
URBIN, Ms. DUCKWORTH, Mr. SCHATZ, Mr. CARPER, Mr. CASEY, Mr.
B
OOKER, Mr. KING, Ms. HASSAN, Ms. CORTEZMASTO, Mr. MARKEY,
Mr. K
ELLY, Mr. HELMY, Mr. CARDIN, Ms. STABENOW, Mrs. MURRAY,
Mr. W
ARNOCK, Mr. MURPHY, Mr. HEINRICH, and Mr. PADILLA) intro-
duced the following bill; which was read twice and referred to the Com-
mittee on Finance
A BILL
To amend the Internal Revenue Code of 1986 to expand
eligibility for the refundable credit for coverage under
a qualified health plan.
Be it enacted by the Senate and House of Representa-1
tives of the United States of America in Congress assembled, 2
SECTION 1. SHORT TITLE. 3
This Act may be cited as the ‘‘Health Care Afford-4
ability Act of 2024’’. 5
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•S 5194 IS
SEC. 2. INCREASE IN ELIGIBILITY FOR CREDIT. 1
(a) I
NGENERAL.—Subparagraph (A) of section 2
36B(c)(1) of the Internal Revenue Code of 1986 is amend-3
ed by striking ‘‘but does not exceed 400 percent’’. 4
(b) A
PPLICABLEPERCENTAGES.— 5
(1) I
N GENERAL.—Subparagraph (A) of section 6
36B(b)(3) of the Internal Revenue Code of 1986 is 7
amended to read as follows: 8
‘‘(A) A
PPLICABLE PERCENTAGE .—The ap-9
plicable percentage for any taxable year shall be 10
the percentage such that the applicable percent-11
age for any taxpayer whose household income is 12
within an income tier specified in the following 13
table shall increase, on a sliding scale in a lin-14
ear manner, from the initial premium percent-15
age to the final premium percentage specified in 16
such table for such income tier: 17
‘‘In the case of household income
(expressed as a percent of poverty line)
within the following income tier:
The initial
premium
percentage
is—
The final
premium
percentage
is—
Up to 150 percent .................................................. 0 0
150 percent up to 200 percent ............................... 0 2.0
200 percent up to 250 percent ............................... 2.0 4.0
250 percent up to 300 percent ............................... 4.0 6.0
300 percent up to 400 percent ............................... 6.0 8.5
400 percent and higher .......................................... 8.5 8.5.’’.
(2) CONFORMING AMENDMENTS RELATING TO 18
AFFORDABILITY OF COVERAGE .— 19
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•S 5194 IS
(A) Paragraph (1) of section 36B(c) of 1
such Code is amended by striking subparagraph 2
(E). 3
(B) Subparagraph (C) of section 36B(c)(2) 4
of such Code is amended by striking clause (iv). 5
(C) Paragraph (4) of section 36B(c) of 6
such Code is amended by striking subparagraph 7
(F). 8
(c) E
FFECTIVEDATE.—The amendments made by 9
this section shall apply to taxable years beginning after 10
December 31, 2025. 11
Æ
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