In Senate·Last action 150 days ago

New HSA accounts for ACA buyers, plus restrictions on abortion and gender care funding

Officially: 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.

Where it stands

blocked

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What this bill actually does

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.

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Where your representatives stand

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Where this bill is in the process

Legislative timeline

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Introduced

Introduced in Senate

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Senate Committee

Under Senate committee consideration

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Senate Floor Vote

Voted on by Senate

Latest: 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) (12/11/2025)

DEC 11

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Passed Senate

Approved by Senate

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House Review

Sent to House for consideration

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Passed Both Chambers

Approved by both House and Senate

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Signed into Law

Signed by the President

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New HSA accounts for ACA buyers, plus restrictions on abortion and gender care funding

Where your representatives stand

Legislative timeline

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