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HR 6246
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Save American Healthcare Act

To amend the Internal Revenue Code of 1986 to extend certain provisions of the health insurance premium tax credit using tariff revenue.

Introduced Nov 21, 2025

Latest action (Nov 21, 2025) Referred to the House Committee on Ways and Means.

Policy area
Issues
Healthcare

Summary

This bill extends health insurance premium tax credits that were set to expire, allowing people whose household income exceeds 400 percent of the poverty line to continue receiving the credits. The extension is funded by tariff revenue collected by the federal government. The credits will remain available until the cost of extending them equals the amount of tariff revenue collected after January 19, 2025. The Secretary of the Treasury must estimate this timeline using methods similar to those used by the Congressional Budget Office and Joint Committee on Taxation. The changes apply to tax years beginning after December 31, 2025.

AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.

Sponsor (1)

Actions (2)

  1. Nov 21, 2025 Referred to the House Committee on Ways and Means. · house
  2. Nov 21, 2025 Introduced in House

Similar bills (6)

Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.

Text versions (1)

  • Introduced in House · Nov 21, 2025

Only one text version is on file, so there’s no earlier version to compare against yet.

Full text

IN THE HOUSE OF REPRESENTATIVES

November 21, 2025

Mr. Thanedar introduced the following bill; which was referred to the Committee on Ways and Means

A BILL

To amend the Internal Revenue Code of 1986 to extend certain provisions of the health insurance premium tax credit using tariff revenue.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

This Act may be cited as the “Save American Healthcare Act”.

SEC. 2. EXTENSION OF HEALTH INSURANCE PREMIUM TAX CREDIT PROVISIONS.

(a) 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 to read as follows:

“(E) Temporary rule.—

“(i) In general.—In the case of a taxable year beginning before the applicable date, subparagraph (A) shall be applied without regard to ‘but does not exceed 400 percent’.

“(ii) Applicable date.—For purposes of clause (i), the term ‘applicable date’ means the latest date which the Secretary estimates will result in—

“(I) the sum of the increase in outlays, and the reduction in revenues, of the Federal Government by reason of this subparagraph and subsection

(b)(3)(A)(iii), not exceeding

“(II) the decrease in outlays of the Federal Government by reason of amounts collected from tariffs that were imposed or increased after January 19, 2025.

“(iii) Method of estimation.—To the maximum extent practicable, the estimates of the Secretary under clause (ii) shall be made in the same manner as such estimates are made by the Congressional Budget Office and the Joint Committee on Taxation with respect to proposed legislation.”.

(b) Extension of Rules To Increase Premium Assistance Amounts.— Clause (iii) of section 36B(b)(3)(A) of such Code is amended—

(1) in the heading, by striking “for 2021 through 2025”, and

(2) in the matter preceding subclause (I), by striking “January 1, 2026” and inserting “the applicable date (as defined in subsection (c)(1)(E))”.

(c) Effective Date.—The amendments made by this section shall apply to taxable years beginning after December 31, 2025. <all>

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