S. 3386 · 119th Congress
Health Care Freedom for Patients Act of 2025
Where it stands
- Introduced Done · Dec 8, 2025
- Committee Not yet
- Passed Senate Not yet
- Passed House Not yet
- President Not yet
- Law Not yet
From the official actions on Congress.gov.
Key points
- What it changes
- A plain-language summary isn't ready yet. The official summary below describes the bill.
- Who it affects
- A plain-language summary isn't ready yet. The official summary below describes the bill.
- What it costs
- No cost estimate yet.
- Where it stands
- 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) (Dec 11, 2025)
- What happens next
- A committee would usually act on it before the full Senate votes.
Official summary
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.
Summary by the Congressional Research Service (Introduced in Senate version), via Congress.gov. These are proposed provisions, not enacted law.
Recorded votes
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On the Cloture Motion: Cloture Motion Rejected (51–48)
This vote set how the bill is debated. It is not a vote for or against the bill.Votes by party
How each party voted on roll call 643 Party Yes No Present Did not vote Share voting Yes Democratic 0 45 0 0 Republican 51 1 0 1 Independent 0 2 0 0 Party totals from the official roll call.
Map: how each state voted
Each state is shaded by the share of its senators who voted Yes, out of those who voted Yes or No. Colors show the vote, not party.
U.S. Senate roll call vote (data via Voteview, UCLA) ↗ — includes how every member voted
Vote types come from the official question text. How we label votes
Legislative history
- Dec 11, 2025Cloture on the motion to proceed to the measure not invoked in Senate by Yea-Nay Vote. 51 - 48. Record Vote Number: 643. (CR S8654)
- Dec 11, 2025Motion to proceed to measure considered in Senate. (CR S8643)
- Dec 9, 2025Motion to proceed to consideration of measure withdrawn in Senate.
- Dec 9, 2025Cloture motion on the motion to proceed to the measure presented in Senate. (CR S8567)
- Dec 9, 2025Motion to proceed to consideration of measure made in Senate. (CR S8567)
- Dec 8, 2025Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 285.
- Dec 8, 2025Introduced in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time. (Legislative Day December 4, 2025).
- Dec 8, 2025Introduced in Senate