Bill adds HSA deposits for marketplace plans, curbs immigrant Medicaid access

What does this do?

This bill creates government-funded HSAs for people buying bronze or catastrophic ACA marketplace plans in 2026-2027, restores cost-sharing reduction payments, and expands access to catastrophic plans. It also changes Medicaid/CHIP funding tied to immigration status verification and bars coverage of gender transition procedures as an essential health benefit or under Medicaid/CHIP for minors.

Who does it affect?

This affects ACA marketplace enrollees, immigrants without legal status and their families relying on Medicaid/CHIP, transgender individuals seeking transition-related care, and state governments.

Why does it matter?

The changes would limit funding avenues for immigrant health coverage and transition-related care while creating new subsidies and restrictions tied to abortion coverage for marketplace consumers.

What does it cost, and who pays?

• $1,000/year HSA deposit for under 50
• $1,500/year for ages 50-64
• reduced Medicaid match for some states