United States 119th Congress Status: In Committee 2 R cosponsors

S 3386 — Health Care Freedom for Patients Act of 2025

Last action — 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)

  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed House
  5. 5
    To Executive
  6. 6
    Enacted

This bill is in committee in the Senate. Introduced December 08, 2025. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the Senate.

Odds of enactment

Low chance

Based on the sponsor, cosponsors, and committee posture, this bill has a low chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Stalled 6% · moderate confidence

  • In Committee

    Current position in the legislative process.

  • 2 sponsors

    1 primary, 1 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (2 R).

  • Failed a recorded vote

    Failed 1 recorded vote so far — a real headwind.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Summary

Health Care Freedom for Patients Act of 2025This bill allows certain individuals with health savings accounts (HSAs) to receive federal payments. It also restricts payments under Medicaid and the Children's Health Insurance Program (CHIP) regarding certain noncitizens and restricts coverage of gender-transition procedures.Specifically, the bill provides funds for the Department of Health and Human Services to deposit payments into an individual’s HSA during 2026-2027 if the individual has a bronze or catastrophic plan through a health insurance exchange, is between the ages of 18 and 64, and has income up to 700% of the federal poverty level (FPL). Individuals may receive $1,000 or $1,500 annually, depending on age. The bill also provides funds, beginning in 2027, for cost-sharing reductions for certain individuals who have a silver plan and income up to 250% of the FPL.Beginning in 2027, the bill allows any individual to enroll in a catastrophic plan. Currently, these plans are limited to those under the age of 30 or who have certain exemptions.The bill also reduces the enhanced federal matching rate for the Medicaid expansion population in states that provide any health benefits for individuals who are not qualified aliens under federal law. The bill makes Medicaid and CHIP coverage of individuals while their status is being verified optional and conditions federal payment during this period on verification. Finally, the bill prohibits exchange plans from covering gender-transition procedures as an essential health benefit and prohibits federal payment under Medicaid and CHIP for these procedures.

Bill Text

  • Placed on Calendar Senate View text Current html December 08, 2025

Action History

  1. Introduced in Senate

  2. Introduced in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time. (Legislative Day December 4, 2025).

  3. Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 285.

  4. Motion to proceed to consideration of measure made in Senate. (CR S8567)

  5. Cloture motion on the motion to proceed to the measure presented in Senate. (CR S8567)

  6. Motion to proceed to consideration of measure withdrawn in Senate.

  7. Motion to proceed to measure considered in Senate. (CR S8643)

  8. 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)

Sponsors

Sponsorship breakdown

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1 sponsors · 1 co-sponsors · 545 not signed on · 44 voted No

Sponsors (1)

Co-sponsors (1)

Not signed on (545)

545 members have not signed on to this bill.

Show all 545 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

On the Cloture Motion S. 3386

Failed 51 Yea · 48 Nay · 1 Other
Party YeaNayPresentNot Voting
Democratic 04100
Republican 50101
Unaffiliated 1400
Independent 0200
Total 514801
% of votes cast 51%48%0%1%
How each member voted (100)
Member Party Vote
Blunt Rochester (D-DE) — Nay
Cortez Masto (D-NV) — Nay
Lujan (D-NM) — Nay
Mullin (R-OK) — Yea
Van Hollen (D-MD) — Nay
Alsobrooks, Angela D. Democratic Nay
Baldwin, Tammy Democratic Nay
Bennet, Michael F. Democratic Nay
Blumenthal, Richard Democratic Nay
Booker, Cory A. Democratic Nay
Cantwell, Maria Democratic Nay
Coons, Christopher A. Democratic Nay
Duckworth, Tammy Democratic Nay
Durbin, Richard J. Democratic Nay
Fetterman, John Democratic Nay
Gallego, Ruben Democratic Nay
Gillibrand, Kirsten E. Democratic Nay
Hassan, Margaret Wood Democratic Nay
Heinrich, Martin Democratic Nay
Hickenlooper, John W. Democratic Nay
Hirono, Mazie K. Democratic Nay
Kaine, Tim Democratic Nay
Kelly, Mark Democratic Nay
Kim, Andy Democratic Nay
Klobuchar, Amy Democratic Nay
Markey, Edward J. Democratic Nay
Merkley, Jeff Democratic Nay
Murphy, Christopher Democratic Nay
Murray, Patty Democratic Nay
Ossoff, Jon Democratic Nay
Padilla, Alex Democratic Nay
Peters, Gary C. Democratic Nay
Reed, Jack Democratic Nay
Rosen, Jacky Democratic Nay
Schatz, Brian Democratic Nay
Schiff, Adam B. Democratic Nay
Schumer, Charles E. Democratic Nay
Shaheen, Jeanne Democratic Nay
Slotkin, Elissa Democratic Nay
Smith, Tina Democratic Nay
Warner, Mark R. Democratic Nay
Warnock, Raphael G. Democratic Nay
Warren, Elizabeth Democratic Nay
Welch, Peter Democratic Nay
Whitehouse, Sheldon Democratic Nay
Wyden, Ron Democratic Nay
King, Angus S., Jr. Independent Nay
Sanders, Bernard Independent Nay
Banks, Jim Republican Yea
Barrasso, John Republican Yea
Blackburn, Marsha Republican Yea
Boozman, John Republican Yea
Britt, Katie Boyd Republican Yea
Budd, Ted Republican Yea
Capito, Shelley Moore Republican Yea
Cassidy, Bill Republican Yea
Collins, Susan M. Republican Yea
Cornyn, John Republican Yea
Cotton, Tom Republican Yea
Cramer, Kevin Republican Yea
Crapo, Mike Republican Yea
Cruz, Ted Republican Yea
Curtis, John R. Republican Yea
Daines, Steve Republican Not Voting
Ernst, Joni Republican Yea
Fischer, Deb Republican Yea
Graham, Lindsey Republican Yea
Grassley, Chuck Republican Yea
Hagerty, Bill Republican Yea
Hawley, Josh Republican Yea
Hoeven, John Republican Yea
Husted, Jon Republican Yea
Hyde-Smith, Cindy Republican Yea
Johnson, Ron Republican Yea
Justice, James C. Republican Yea
Kennedy, John Republican Yea
Lankford, James Republican Yea
Lee, Mike Republican Yea
Lummis, Cynthia M. Republican Yea
Marshall, Roger Republican Yea
McConnell, Mitch Republican Yea
McCormick, David Republican Yea
Moody, Ashley Republican Yea
Moran, Jerry Republican Yea
Moreno, Bernie Republican Yea
Murkowski, Lisa Republican Yea
Paul, Rand Republican Nay
Ricketts, Pete Republican Yea
Risch, James E. Republican Yea
Rounds, Mike Republican Yea
Schmitt, Eric Republican Yea
Scott, Rick Republican Yea
Scott, Tim Republican Yea
Sheehy, Tim Republican Yea
Sullivan, Dan Republican Yea
Thune, John Republican Yea
Tillis, Thomas Republican Yea
Tuberville, Tommy Republican Yea
Wicker, Roger F. Republican Yea
Young, Todd Republican Yea

Subjects

healthcare health-insurance
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Frequently asked questions

What does S 3386 do?
Health Care Freedom for Patients Act of 2025This bill allows certain individuals with health savings accounts (HSAs) to receive federal payments. It also restricts payments under Medicaid and the Children's Health Insurance Program (CHIP) regarding certain noncitizens and restricts coverage of gender-transition procedures.Specifically, the bill provides funds for the Department of Health and Human Services to deposit payments into an individual’s HSA during 2026-2027 if the individual has a bronze or catastrophic plan through a health insurance exchange, is between the ages of 18 and 64, and has income up to 700% of the federal poverty level (FPL). Individuals may receive $1,000 or $1,500 annually, depending on age. The bill also provides funds, beginning in 2027, for cost-sharing reductions for certain individuals who have a silver plan and income up to 250% of the FPL.Beginning in 2027, the bill allows any individual to enroll in a catastrophic plan. Currently, these plans are limited to those under the age of 30 or who have certain exemptions.The bill also reduces the enhanced federal matching rate for the Medicaid expansion population in states that provide any health benefits for individuals who are not qualified aliens under federal law. The bill makes Medicaid and CHIP coverage of individuals while their status is being verified optional and conditions federal payment during this period on verification. Finally, the bill prohibits exchange plans from covering gender-transition procedures as an essential health benefit and prohibits federal payment under Medicaid and CHIP for these procedures.
Who sponsors S 3386?
S 3386 is sponsored by Crapo, Mike (Republican) and Cassidy, Bill (Republican).
What is the current status of S 3386?
This bill is in committee in the Senate. Introduced December 08, 2025. It must pass committee before a floor vote.
Where can I track S 3386?
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