Bill · S. 3391· Senate(119-S-3391)
Accountability for Better Care Act of 2025
- Introduced
- 12/9/2025
- Last activity
- 12/9/2025 — Read twice and referred to the Committee on Finance.
- Sponsored by
- Jon Husted
- Cosponsors
- None
- Introduced
- In Committee
What this bill would do
The Accountability for Better Care Act of 2025 aims to amend the Internal Revenue Code of 1986. It seeks to extend and modify enhanced premium tax credits. The bill introduces changes to premium percentages and implements a minimum monthly payment rule. It also updates rules regarding citizenship for various provisions. Additionally, it establishes new rules concerning the coverage of abortion within qualified health plans.
Yes· 3 of 6
Would households on low incomes be better off under this?+3
The bill extends enhanced premium tax credits which assists low-income households with insurance costs.
Does this strengthen the Affordable Care Act?+3
The bill extends and modifies enhanced premium tax credits within the Affordable Care Act framework.
Would people in their twenties and thirties be better off under this?+2
The extension of premium tax credits provides continued assistance for young adults seeking health insurance.
The opposite· 3 of 7
Does this make abortion easier to get?-7
The bill excludes health plans that provide abortion coverage from being treated as qualified health plans, except in specific cases of life endangerment, rape, or incest.
Would women be better off under this?-5
The restriction of abortion coverage in qualified health plans specifically impacts women's reproductive healthcare access.
Would immigrants be better off under this?-4
The bill shifts the standard for receiving benefits from being 'lawfully present' to being a 'citizen', which restricts access for many immigrants.
Who it would affect, and how
Potential Positive Impacts for People
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Updated Premium Percentages: The bill modifies the table for premium assistance, which includes new rows for various income percentages (Section 2(b)).
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Funding for Reduced Cost-Sharing: The bill appropriates necessary sums from the Treasury to make payments for purposes of reduced cost-saring for plan years beginning on or after January 1, 2027 (Section 3(a)).
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Exceptions for Abortion Coverage: Under the new rules for qualified health plans, exceptions are made for abortion coverage if the life of the mother would be endangered or if the pregnancy resulted from rape or incest (Section 2(e)).
Potential Negative Impacts for People
-
Restrictions on Abortion Coverage: A health plan that provides any benefits or coverage for abortions will not be treated as a qualified health plan, with specific exceptions (Section 2(e)).
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Changes to Citizenship Rules: For taxable years and plan years beginning after December 31, 2025, certain rules will be applied to those who are not citizens of the United States (Section 2(d) and Section 3(b)).
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Premium Assistance Limits: The bill introduces a clause where premium assistance amounts are adjusted such that they cannot exceed the monthly premiums described in a specific paragraph reduced by $5 (Section 2(c)).
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 Low Income Households+3Good For Middle Class Households+2Good For Young Adults+2Good For Women-5Good For Immigrants-4Good For Hispanic Americans-3
- Social Issues And Justice
- Improves Poverty Reduction+2Improves Gender Equality-4Improves Pathway To Citizenship-3
- Economy And Finance
- Reduces Government Spending-2
- Healthcare
- Increases Affordable Care Act Support+3Improves Healthcare Access+2Improves Abortion Access-7
- 12/9/2025
- Read twice and referred to the Committee on Finance.
- Introduced in Senate