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Bill would remove income cap on ACA premium subsidies and erase 2025 budget health rules

In committeeH.R. 4849Latest action

Sponsor: Adam Gray · Representative · CA

AIDecoded by AI · checked against the record
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Official title: Protecting Health Care and Lowering Costs Act of 2025

119th Congress

Topics: Jobs & the economy

Introduced:

Read the official bill on Congress.gov

In plain words

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HR 4849 removes the 400% poverty income cap on ACA premium and repeals unspecified 2025 budget health provisions.

55-second read · 4 questions answered below

What does this do?

HR 4849 would repeal certain health care provisions from 119-21, a budget law passed earlier in 2025, returning rules to what they were before that law. It would also make permanent the removal of the 400 percent federal poverty level income cap on Premium , which help people pay for private health insurance through the ACA marketplace. People above that income threshold could qualify for assistance, though the subsidy amount would still decrease on a sliding scale as income rises.

Who does it affect?

The bill primarily affects people who buy individual health insurance through the ACA marketplace, including self-employed workers, part-time workers, and early retirees. Depending on what the repealed 2025 budget provisions contained, a broader group of people could also be affected.

Why does it matter?

Removing the income cap would extend eligibility for premium assistance to people who currently receive no subsidy because their earnings exceed 400 percent of the federal poverty level. Repealing the 2025 budget law provisions would reverse changes whose specific effects the bill does not describe.

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Where does it stand?

  1. IntroducedAug 1, 2025
  2. House committeeYou are here · Aug 1, 2025
  3. House vote
  4. Senate
  5. The president's desk

Right now: a House committee is reviewing it. If the Senate changes it, it goes back to the House before reaching the president.

Latest action: — Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Data as of October 9, 2026
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