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S. 3385

U.S. SenateIntroduced

Summary

S. 3385, the Lower Health Care Costs Act, was introduced in the Senate on Dec 8, 2025 by Sen. Charles Schumer (D). It last saw action on Dec 11, 2025: Cloture on the motion to proceed to the measure not invoked in Senate by Yea-Nay Vote. 51 - 48. Record Vote Number: 644. (CR S8654-8655).


Record

Text

S. 3385 has 1 roll call and 2 amendments.

sb3385/placed-on-calendar-senate.txt
119 S3385 PCS: Lower Health Care Costs Act
U.S. Senate
2025-12-08
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
II Calendar No. 284 119th CONGRESS 1st Session S. 3385 IN THE SENATE OF THE UNITED STATES December 8 (legislative day, December 4), 2025 Mr. Schumer introduced the following bill; which was read the first time December 8. 2025 Read the second time and placed on the calendar A BILL
To amend the Internal Revenue Code of 1986 to extend the enhancement of the health care premium tax credit.
1.
Short title
This Act may be cited as the Lower Health Care Costs Act .
2.
Extension of enhancement of health care premium tax credit
(a)
Extension of rules to increase premium assistance amounts
Clause (iii) of section 36B(b)(3)(A) of the Internal Revenue Code of 1986 is amended—
(1)
in the heading, by striking
through 2025 and inserting
through 2028 , and
(2)
in the matter preceding subclause (I), by striking before January 1, 2026 and inserting before January 1, 2029 .
(b)
Extension of rule to allow credit to taxpayers whose household income exceeds
400 percent of poverty line
Subparagraph (E) of section 36B(c)(1) of the Internal Revenue Code of 1986 is amended—
(1)
in the heading, by striking
through 2025 and inserting
through 2028 , and
(2)
by striking before January 1, 2026 and inserting before January 1, 2029 .
(c)
Effective date
The amendments made by this section shall apply to taxable years beginning after December 31, 2025.
December 8. 2025 Read the second time and placed on the calendar

Tracker

The tracker indicates the progress of this legislation as it moves through the legislative process.

  1. Introduced2025-12-08
  2. Passed Senate
  3. Passed House
  4. Conference
  5. To President
  6. Became Law

CRS Summary

The summaries are the Congressional Research Service’s, one per stage. Read them in full.

Introduced in Senate Dec 8, 2025

sb3385/introduced-in-senate.md

Shown Here:
Introduced in Senate (12/08/2025)

Lower Health Care Costs Act

This bill extends for three years, through 2028, temporary changes enacted by the American Rescue Plan Act of 2021 (ARPA) and the Inflation Reduction Act of 2022 (IRA) that generally expand eligibility for and increase the amount of the premium tax credit.

Currently, eligible taxpayers may be able to claim the premium tax credit, which applies toward the cost of obtaining health insurance through health insurance exchanges. To be eligible for the premium tax credit, a taxpayer’s household income must meet or exceed 100% of the federal poverty level (FPL) and, after 2025, may not exceed 400% of the FPL (maximum income limit). For 2021-2025, the ARPA and IRA eliminated the maximum income limit, which generally expands eligibility for the premium tax credit.

Further, under current law, the amount of the premium tax credit is (1) generally the plan premium (conditions apply), minus (2) the taxpayer’s household income multiplied by the applicable percentage. The applicable percentage is a specific percentage that varies depending on which of six income ranges (adjusted for inflation after 2025) the taxpayer’s household income falls within. For 2021-2025, the ARPA and IRA lowered the applicable percentages and eliminated the adjustment of the applicable percentages for inflation, which generally increases the amount of the premium tax credit.

The bill extends for three years, through 2028, the elimination of the 400% maximum income limit, the lower applicable percentages, and the elimination of the inflation adjustment for the applicable percentages.

Sponsors

Sen. Charles Schumer (D) sponsors S. 3385 alone.

Actions

S. 3385 has taken 6 actions since Dec 8, 2025, the latest on Dec 11, 2025.

ChamberAction
Dec 11, 2025
Senate
Cloture on the motion to proceed to the measure not invoked in Senate by Yea-Nay Vote. 51 - 48. Record Vote Number: 644. (CR S8654-8655)Senate roll call 644 51–48
Dec 9, 2025
Senate
Motion to proceed to consideration of measure made in Senate. (CR S8567)
Dec 9, 2025
Senate
Cloture motion on the motion to proceed to the measure presented in Senate. (CR S8567)
Dec 8, 2025
Senate
Introduced in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time. (Legislative Day December 4, 2025). (text: CR S8530-8531)
Dec 8, 2025
Senate
Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 284.

Votes

S. 3385 went to 1 roll call in the Senate, the latest on Dec 11, 2025 at 5148.

ChamberQuestion
Yea
Nay
Dec 11, 2025
Senate
On the Cloture Motion
51
48

Amendments

2 amendments have been offered to S. 3385.

1 bill is related to S. 3385.

Titles

S. 3385 goes by 3 titles, 1 of them short titles.

  • Lower Health Care Costs Act — Display Title
  • Lower Health Care Costs Act — Short Title(s) from PCS (Placed on Senate Calendar) bill text
  • A bill to amend the Internal Revenue Code of 1986 to extend the enhancement of the health care premium tax credit. — Official Title as Introduced

Cost estimate

The Congressional Budget Office has filed 1 estimate for S. 3385, the latest on Dec 10, 2025.


Lobbying

21 clients hired 20 firms and 115 registered lobbyists who named S. 3385 in 46 quarterly filings, 2025 to 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.

Filed under Health Issues, Taxation/Internal Revenue Code, Budget/Appropriations, Medicare/Medicaid, Immigration, Foreign Relations, Defense, Education.

Clients

Who paid to be heard, by how many filings named the bill. The 20 that filed most often, of 21.

ClientBusinessStateFirmsFilingsReported
FRIENDS COMMITTEE ON NATIONAL LEGISLATIONDistrict of Columbia15
HIGHMARK INCPennsylvania14
HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)Health care coverage related to Medicare, Medicaid and the Affordable Care Act.Illinois13$80K
AMERICAN MEDICAL ASSOCIATIONDistrict of Columbia13
ASSOCIATION OF AMERICAN MEDICAL COLLEGESDistrict of Columbia13
HEALTHCARE LEADERSHIP COUNCILDistrict of Columbia13
HUMAN RIGHTS CAMPAIGNDistrict of Columbia13
KAISER FOUNDATION HEALTH PLAN INCCalifornia13
P STREET PROJECT, INC.P Street advocates bold progressive solutions to the nations most pressing problems.District of Columbia13
PLANNED PARENTHOOD FEDERATION OF AMERICA, INCHealth care educationNew York12$140K
BANNER HEALTHNonprofit hospital system specializing in integrated health care services.Arizona12$60K
ECONOMIC SECURITY PROJECT ACTION, INC. AND ITS AFFILIATESNew York12
REPRODUCTIVE FREEDOM FOR ALLDistrict of Columbia12
FEDERATION OF AMERICAN HOSPITALSTrade association representing hospitals and health systems.District of Columbia11$60K
AMERICAN CIVIL LIBERTIES UNIONDistrict of Columbia11
CENTER ON BUDGET AND POLICY PRIORITIESDistrict of Columbia11
COMMUNICATIONS WORKERS OF AMERICADistrict of Columbia11
NATIONAL RIGHT LIFE COMMITTEEVirginia11
PLANNED PARENTHOOD ACTION FUND INCDistrict of Columbia11
PLANNED PARENTHOOD FEDERATION OF AMERICA INCDistrict of Columbia11

Firms

Registrants who filed on the bill, by filings.

Lobbyists

Named on the filings that cite the bill. The 20 named most often, of 115.

Filings

The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.

ClientRegistrantPeriodReportedDocument
AMERICAN MEDICAL ASSOCIATIONAMERICAN MEDICAL ASSOCIATION2026 first_quarter$8M1st Quarter - Amendme…
AMERICAN MEDICAL ASSOCIATIONAMERICAN MEDICAL ASSOCIATION2026 first_quarter$8M1st Quarter - Report
AMERICAN MEDICAL ASSOCIATIONAMERICAN MEDICAL ASSOCIATION2025 fourth_quarter$5.5M4th Quarter - Report
FRIENDS COMMITTEE ON NATIONAL LEGISLATIONFRIENDS COMMITTEE ON NATIONAL LEGISLATION2026 first_quarter$1M1st Quarter - Amendme…
FRIENDS COMMITTEE ON NATIONAL LEGISLATIONFRIENDS COMMITTEE ON NATIONAL LEGISLATION2025 fourth_quarter$1M4th Quarter - Amendme…
FRIENDS COMMITTEE ON NATIONAL LEGISLATIONFRIENDS COMMITTEE ON NATIONAL LEGISLATION2025 fourth_quarter$1M4th Quarter - Amendme…
FRIENDS COMMITTEE ON NATIONAL LEGISLATIONFRIENDS COMMITTEE ON NATIONAL LEGISLATION2025 fourth_quarter$1M4th Quarter - Amendme…
FRIENDS COMMITTEE ON NATIONAL LEGISLATIONFRIENDS COMMITTEE ON NATIONAL LEGISLATION2025 fourth_quarter$1M4th Quarter - Report
ASSOCIATION OF AMERICAN MEDICAL COLLEGESASSOCIATION OF AMERICAN MEDICAL COLLEGES2026 second_quarter$821.4K2nd Quarter - Report
KAISER FOUNDATION HEALTH PLAN INCKAISER FOUNDATION HEALTH PLAN INC.2025 fourth_quarter$730K4th Quarter - Amendme…
KAISER FOUNDATION HEALTH PLAN INCKAISER FOUNDATION HEALTH PLAN INC.2025 fourth_quarter$730K4th Quarter - Amendme…
ASSOCIATION OF AMERICAN MEDICAL COLLEGESASSOCIATION OF AMERICAN MEDICAL COLLEGES2025 fourth_quarter$708.4K4th Quarter - Report
KAISER FOUNDATION HEALTH PLAN INCKAISER FOUNDATION HEALTH PLAN INC.2025 fourth_quarter$690K4th Quarter - Report
ASSOCIATION OF AMERICAN MEDICAL COLLEGESASSOCIATION OF AMERICAN MEDICAL COLLEGES2026 first_quarter$577.7K1st Quarter - Report
AMERICAN CIVIL LIBERTIES UNIONAMERICAN CIVIL LIBERTIES UNION2025 fourth_quarter$520K4th Quarter - Report
COMMUNICATIONS WORKERS OF AMERICACOMMUNICATIONS WORKERS OF AMERICA2025 fourth_quarter$457K4th Quarter - Report
SUSAN B ANTHONY LISTSUSAN B ANTHONY LIST2025 fourth_quarter$420K4th Quarter - Report
HIGHMARK INCHIGHMARK, INC.2026 first_quarter$250K1st Quarter - Report
HIGHMARK INCHIGHMARK, INC.2026 second_quarter$230K2nd Quarter - Report
HUMAN RIGHTS CAMPAIGNHUMAN RIGHTS CAMPAIGN2026 second_quarter$223.7K2nd Quarter - Report

Classification

The Congressional Research Service files S. 3385 under Taxation, one of its 31 policy areas, and gives it 5 legislative subjects.

CRS Subjects

CRS assigns every bill one policy area from its 31; S. 3385’s is Taxation.

s3385/policy-areas.txt
TaxationAgriculture and FoodAnimalsArmed Forces and National SecurityArts, Culture, ReligionCivil Rights and Liberties, Minority IssuesCommerceCongressCrime and Law EnforcementEconomics and Public FinanceEducationEmergency ManagementEnergyEnvironmental ProtectionFamiliesFinance and Financial SectorForeign Trade and International FinanceGovernment Operations and PoliticsHealthHousing and Community DevelopmentImmigrationInternational AffairsLabor and EmploymentLawNative AmericansPublic Lands and Natural ResourcesScience, Technology, CommunicationsSocial WelfareSports and RecreationTransportation and Public WorksWater Resources Development

Legislative Subjects

S. 3385 carries 5 of CRS’s legislative subjects, from Health care costs and insurance to Tax administration and collection, taxpayers.

s3385/subjects.txt
Health care costs and insuranceHealth care coverage and accessIncome tax creditsInflation and pricesTax administration and collection, taxpayers

Source: congress.gov · legiscan.com