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Contact Congress about S. 3386: Health Care Freedom for Patients Act of 2025

Creates federally funded health savings accounts for lower-cost ACA plan enrollees while restricting federal health spending on abortion and gender transition services, tightening Medicaid immigration verification, and permanently funding cost-sharing reductions.

Modern Action explains legislation in plain English, helps you choose whether to support, oppose, or ask for changes, and drafts a message tied to the bill, your stance, and the elected officials who can act on it.

Health Care Freedom for Patients Act of 2025 is a Senate bill stalled. The latest recorded action: 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).

Latest action on S. 3386: 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)

Who this affects: This bill would directly affect millions of people who get health coverage through ACA marketplace plans, Medicaid, and CHIP. It would also affect state governments that run Medicaid programs.

Why this matters: This bill ties new financial help for health coverage to restrictions on what that money can pay for. It could lower costs for some people while limiting access to specific services for others.

Key provisions in S. 3386

  • Creates a new Exchange plan HSA under the tax code with special rules. Funds cannot roll over to a regular HSA.
  • Gives federal HSA contributions of up to $1,000/year (ages 18-49) or $1,500/year (ages 50-64) to bronze or catastrophic plan enrollees in 2026 and 2027.
  • These federal HSA contributions are tax-free but cannot be deducted again as personal HSA contributions.
  • Sets aside $10 billion per year for fiscal years 2026 and 2027 to fund the HSA program, available through September 2028.
  • Permanently funds ACA cost-sharing reduction payments starting in 2027, but bans those funds from covering plans that include most abortion services.

How Modern Action helps you take action on S. 3386

You do not have to start with a blank letter. Modern Action turns the bill, your position, and the relevant congressional context into a message you can edit and send. The goal is to make contacting Congress clear, specific, and useful without forcing you to parse bill text or figure out the right office on your own.

Questions people ask about S. 3386

What is S. 3386?
Creates federally funded health savings accounts for lower-cost ACA plan enrollees while restricting federal health spending on abortion and gender transition services, tightening Medicaid immigration verification, and permanently funding cost-sharing reductions.
How do I support or oppose S. 3386?
Choose support, oppose, or ask for changes on Modern Action. The action flow drafts the message for you and keeps the wording tied to this bill.
Who should I contact about S. 3386?
Modern Action uses your location to route the action to the congressional offices relevant to the bill and your representation.
Can Modern Action explain S. 3386 before I act?
Yes. Modern Action gives you a plain-English summary, current status, and action context before you send anything.

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More ways to act on this issue

Compare the broader issue and related bills without leaving Modern Action.

Related issues

  • Contact your reps on Limits on federal money for abortionFederal bills address when federal funds, tax benefits, or health savings accounts can be used for abortion-related services.

Related bills

  • Take action on H.Con.Res. 78: Expressing support for the recognition of March 10, 2026, as "Abortion Provider Appreciation Day".