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S. 3385
U.S. Senate•Introduced
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.txt119 S3385 PCS: Lower Health Care Costs ActU.S. Senate2025-12-08text/xmlENPursuant 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 BILLTo amend the Internal Revenue Code of 1986 to extend the enhancement of the health care premium tax credit.1.Short titleThis 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 amountsClause (iii) of section 36B(b)(3)(A) of the Internal Revenue Code of 1986 is amended—(1)in the heading, by strikingthrough 2025 and insertingthrough 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 exceeds400 percent of poverty lineSubparagraph (E) of section 36B(c)(1) of the Internal Revenue Code of 1986 is amended—(1)in the heading, by strikingthrough 2025 and insertingthrough 2028 , and(2)by striking before January 1, 2026 and inserting before January 1, 2029 .(c)Effective dateThe 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.
- Introduced2025-12-08
- Passed Senate
- Passed House
- Conference
- To President
- 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.mdShown 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.
| Chamber | Action | |||
|---|---|---|---|---|
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 51–48.
| Chamber | Question | Yea | Nay | |||
|---|---|---|---|---|---|---|
Dec 11, 2025 | Senate | On the Cloture Motion | 51 | 48 |
Amendments
2 amendments have been offered to S. 3385.
Related bills
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.
- Estimated Budgetary Effects of S. 3385, the Lower Health Care Costs Act — 2025-12-10As introduced in the Senate on December 8, 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.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| FRIENDS COMMITTEE ON NATIONAL LEGISLATION | — | District of Columbia | 1 | 5 | — |
| HIGHMARK INC | — | Pennsylvania | 1 | 4 | — |
| HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC) | Health care coverage related to Medicare, Medicaid and the Affordable Care Act. | Illinois | 1 | 3 | $80K |
| AMERICAN MEDICAL ASSOCIATION | — | District of Columbia | 1 | 3 | — |
| ASSOCIATION OF AMERICAN MEDICAL COLLEGES | — | District of Columbia | 1 | 3 | — |
| HEALTHCARE LEADERSHIP COUNCIL | — | District of Columbia | 1 | 3 | — |
| HUMAN RIGHTS CAMPAIGN | — | District of Columbia | 1 | 3 | — |
| KAISER FOUNDATION HEALTH PLAN INC | — | California | 1 | 3 | — |
| P STREET PROJECT, INC. | P Street advocates bold progressive solutions to the nations most pressing problems. | District of Columbia | 1 | 3 | — |
| PLANNED PARENTHOOD FEDERATION OF AMERICA, INC | Health care education | New York | 1 | 2 | $140K |
| BANNER HEALTH | Nonprofit hospital system specializing in integrated health care services. | Arizona | 1 | 2 | $60K |
| ECONOMIC SECURITY PROJECT ACTION, INC. AND ITS AFFILIATES | — | New York | 1 | 2 | — |
| REPRODUCTIVE FREEDOM FOR ALL | — | District of Columbia | 1 | 2 | — |
| FEDERATION OF AMERICAN HOSPITALS | Trade association representing hospitals and health systems. | District of Columbia | 1 | 1 | $60K |
| AMERICAN CIVIL LIBERTIES UNION | — | District of Columbia | 1 | 1 | — |
| CENTER ON BUDGET AND POLICY PRIORITIES | — | District of Columbia | 1 | 1 | — |
| COMMUNICATIONS WORKERS OF AMERICA | — | District of Columbia | 1 | 1 | — |
| NATIONAL RIGHT LIFE COMMITTEE | — | Virginia | 1 | 1 | — |
| PLANNED PARENTHOOD ACTION FUND INC | — | District of Columbia | 1 | 1 | — |
| PLANNED PARENTHOOD FEDERATION OF AMERICA INC | — | District of Columbia | 1 | 1 | — |
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.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| ALLEN HESTER | 1 | 1 | 5 |
| AMELIA KEGAN | 1 | 1 | 5 |
| ANIKA FORREST | 1 | 1 | 5 |
| BRENDA REESE | 1 | 2 | 5 |
| BRIDGET MOIX | 1 | 1 | 5 |
| DAREN CAUGHRON | 1 | 1 | 5 |
| DIANE MAJOR | 1 | 2 | 5 |
| HASSAN EL-TAYYAB | 1 | 1 | 5 |
| HEATHER BRANDON-BRAVO | 1 | 1 | 5 |
| JOSE MORENO | 1 | 1 | 5 |
| KAYLIN HENDERSON | 1 | 1 | 5 |
| MARIA MITRI | 1 | 1 | 5 |
| ODELIYA MATTER | 1 | 1 | 5 |
| PAUL AVERSA | 1 | 1 | 5 |
| PRIYA MORAN | 1 | 1 | 5 |
| RACHEL OVERSTREET | 1 | 1 | 5 |
| URSALA KNUDSEN-LATTA | 1 | 1 | 5 |
| ALEXANDRA MORK | 1 | 1 | 4 |
| GREGORY ENGLERT | 1 | 1 | 4 |
| AARON STEPHENS | 1 | 1 | 3 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2026 first_quarter | $8M | 1st Quarter - Amendme… |
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2026 first_quarter | $8M | 1st Quarter - Report |
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2025 fourth_quarter | $5.5M | 4th Quarter - Report |
| FRIENDS COMMITTEE ON NATIONAL LEGISLATION | FRIENDS COMMITTEE ON NATIONAL LEGISLATION | 2026 first_quarter | $1M | 1st Quarter - Amendme… |
| FRIENDS COMMITTEE ON NATIONAL LEGISLATION | FRIENDS COMMITTEE ON NATIONAL LEGISLATION | 2025 fourth_quarter | $1M | 4th Quarter - Amendme… |
| FRIENDS COMMITTEE ON NATIONAL LEGISLATION | FRIENDS COMMITTEE ON NATIONAL LEGISLATION | 2025 fourth_quarter | $1M | 4th Quarter - Amendme… |
| FRIENDS COMMITTEE ON NATIONAL LEGISLATION | FRIENDS COMMITTEE ON NATIONAL LEGISLATION | 2025 fourth_quarter | $1M | 4th Quarter - Amendme… |
| FRIENDS COMMITTEE ON NATIONAL LEGISLATION | FRIENDS COMMITTEE ON NATIONAL LEGISLATION | 2025 fourth_quarter | $1M | 4th Quarter - Report |
| ASSOCIATION OF AMERICAN MEDICAL COLLEGES | ASSOCIATION OF AMERICAN MEDICAL COLLEGES | 2026 second_quarter | $821.4K | 2nd Quarter - Report |
| KAISER FOUNDATION HEALTH PLAN INC | KAISER FOUNDATION HEALTH PLAN INC. | 2025 fourth_quarter | $730K | 4th Quarter - Amendme… |
| KAISER FOUNDATION HEALTH PLAN INC | KAISER FOUNDATION HEALTH PLAN INC. | 2025 fourth_quarter | $730K | 4th Quarter - Amendme… |
| ASSOCIATION OF AMERICAN MEDICAL COLLEGES | ASSOCIATION OF AMERICAN MEDICAL COLLEGES | 2025 fourth_quarter | $708.4K | 4th Quarter - Report |
| KAISER FOUNDATION HEALTH PLAN INC | KAISER FOUNDATION HEALTH PLAN INC. | 2025 fourth_quarter | $690K | 4th Quarter - Report |
| ASSOCIATION OF AMERICAN MEDICAL COLLEGES | ASSOCIATION OF AMERICAN MEDICAL COLLEGES | 2026 first_quarter | $577.7K | 1st Quarter - Report |
| AMERICAN CIVIL LIBERTIES UNION | AMERICAN CIVIL LIBERTIES UNION | 2025 fourth_quarter | $520K | 4th Quarter - Report |
| COMMUNICATIONS WORKERS OF AMERICA | COMMUNICATIONS WORKERS OF AMERICA | 2025 fourth_quarter | $457K | 4th Quarter - Report |
| SUSAN B ANTHONY LIST | SUSAN B ANTHONY LIST | 2025 fourth_quarter | $420K | 4th Quarter - Report |
| HIGHMARK INC | HIGHMARK, INC. | 2026 first_quarter | $250K | 1st Quarter - Report |
| HIGHMARK INC | HIGHMARK, INC. | 2026 second_quarter | $230K | 2nd Quarter - Report |
| HUMAN RIGHTS CAMPAIGN | HUMAN RIGHTS CAMPAIGN | 2026 second_quarter | $223.7K | 2nd 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.txtLegislative Subjects
S. 3385 carries 5 of CRS’s legislative subjects, from Health care costs and insurance to Tax administration and collection, taxpayers.
s3385/subjects.txtSource: congress.gov · legiscan.com
