Bill · H.R. 955· House(119-HR-955)
HOPE Act of 2025
- Introduced
- 2/4/2025
- Last activity
- 2/4/2025 — Referred to the House Committee on Ways and Means.
- Sponsored by
- Blake Moore
- Cosponsors
- - 9 - 9
- Introduced
- In Committee
What this bill would do
This bill, known as the "Health Out-of-Pocket Expense Act of 2025," proposes to create "HOPE Accounts" to help people pay for medical costs. These accounts are special trusts established to pay for the qualified medical expenses of an account beneficiary. The bill outlines specific rules for how these accounts are managed, who can use them, and how much money can be contributed. It establishes monthly contribution limits based on coverage types and provides tax exemptions for certain contributions and distributions. The rules also include requirements for trustees and specific conditions for being an eligible individual. These changes are intended to reform health provisions within the Internal Revenue Code.
Yes· 3 of 11
Would middle-income households be better off under this?+5
The bill offers significant tax advantages for medical spending for those earning under $100,000 or $200,000.
Does this cut taxes for middle-income families?+5
The bill allows for tax-exempt contributions to HOPE accounts for individuals earning up to $100,000 or $200,000 for married couples.
Would households on low incomes be better off under this?+4
The tax-exempt treatment of contributions and distributions helps low-to-middle income earners manage healthcare costs.
The opposite
Would high-income households be better off under this?-2
The primary tax benefits of the HOPE account are restricted to those earning below certain income thresholds.
Who it would affect, and how
Potential Positive Impacts for People
-
Tax-Exempt Distributions: Amounts used exclusively to pay for qualified medical expenses are not included in gross income, which helps individuals keep more of their money for healthcare (Section 530A(d)(1)).
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Tax-Exempt Contributions: For individuals whose adjusted gross income does not exceed certain thresholds, contributions to a HOPE account are excluded from their adjusted gross income (Section 530A(c)(5)).
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Flexible Contribution Limits: The bill sets monthly contribution limits that can be adjusted for cost-of-living increases starting after 2026, allowing the accounts to keep up with inflation (Section 530A(c)(2) and (7)).
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Protection of Assets: The rules ensure that an individual's interest in the balance of their account is nonforfeitable (Section 530A(b)(1)(E)).
Potential Negative Impacts for People
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Tax Penalties on Non-Medical Distributions: If money is taken out of the account for reasons other than qualified medical expenses, it is included in gross income and subject to an additional 30 percent tax (Section 530A(d)(2)(C)).
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Contribution Restrictions: Contributions are limited to cash, which may restrict how people fund these accounts (Section 530A(b)(1)(A)).
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Income Limitations on Benefits: Certain benefits, such as the exclusion of contributions from gross income and the treatment of employer contributions, are restricted for individuals whose adjusted gross income exceeds specific levels ($100,000 for individuals or $200,000 for married couples filing jointly) (Section 530A(c)(5) and (c)(1) of the amendment to Section 106).
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Requirement for Minimum Coverage: To be an eligible individual, a person must be covered by certain types of health coverage, such as minimum essential coverage (Section 530A(b)(2)(B)).
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Demographic And Interest Groups
- Good For Middle Class Households+5Good For Low Income Households+4Good For People With Disabilities+4Good For Seniors+3Good For Native Americans+2Good For High Income Households-2
- Economy And Finance
- Reduces Middle Class Taxes+5Improves Economic Growth+2
- Healthcare
- Improves Healthcare Access+4Increases Affordable Care Act Support+2Reduces Prescription Drug Costs+1
- Social Issues And Justice
- Improves Poverty Reduction+2
- 3/3/2026
- 1 Cosponsor added.
- 10/31/2025
- 2 Cosponsors added.
- 5/21/2025
- 2 Cosponsors added.
- 5/8/2025
- 2 Cosponsors added.
- 4/7/2025
- 2 Cosponsors added.
- 2/4/2025
- Referred to the House Committee on Ways and Means.
- 9 Cosponsors added.
- Introduced in House
Salud CarbajalDemocrat · California
Ben ClineRepublican · Virginia
Mike CareyRepublican · Ohio
Donald DavisDemocrat · North Carolina
Debbie DingellDemocrat · Michigan
Brian FitzpatrickRepublican · Pennsylvania
Josh GottheimerDemocrat · New Jersey
Josh HarderDemocrat · California
Jeff HurdRepublican · Colorado
Mike KennedyRepublican · Utah
John MoolenaarRepublican · Michigan
August PflugerRepublican · Texas
Jimmy PanettaDemocrat · California
Raul RuizDemocrat · California
Adrian SmithRepublican · Nebraska
Bradley SchneiderDemocrat · Illinois
Thomas SuozziDemocrat · New York
David ValadaoRepublican · California