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Verbatim excerpts from ingested official text and every contributing member vote with chamber roll-call links. No aggregator mirrors.

Stable identifiers

{
  "congress": 119,
  "bill_type": "s",
  "bill_number": 3386,
  "sponsor_bioguide_id": null
}

Canonical URL: https://www.congress.gov/bill/119th-congress/senate-bill/3386

Official text excerpt

119 S3386 PCS: Health Care Freedom for Patients Act of 2025 
 U.S. Senate 
 2025-12-08 
 text/xml 
 EN 
 Pursuant 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. 285 119th CONGRESS 1st Session S. 3386 IN THE SENATE OF THE UNITED STATES December 8 (legislative day, December 4), 2025 Mr. Crapo (for himself and Mr. Cassidy ) introduced the following bill; which was read the first time December 8, 2025 Read the second time and placed on the calendar A BILL To provide a health savings account contribution to certain enrollees, to reduce health care costs, and for other purposes. 1. Short title; table of contents (a) Short title This Act may be cited as the Health Care Freedom for Patients Act of 2025 . (b) Table of contents The table of contents for this Act is as follows: Sec. 1. Short title; table of contents. TITLE I—Increasing choice and reducing premiums Sec. 101. Exchange plan HSAs. Sec. 102. Exchange plan HSA contribution program. Sec. 103. Funding cost-sharing reduction payments. Sec. 104. Allowing all individuals purchasing health insurance in the individual market the option to purchase a lower premium plan. TITLE II—Putting American patients first Sec. 201. Expansion FMAP for certain States providing payments for health care furnished to certain individuals. Sec. 202. Prohibiting Federal financial participation under Medicaid and CHIP for individuals without verified citizenship, nationality, or satisfactory immigration status. TITLE III—Preventing wasteful spending Sec. 301. Prohibiting coverage of gender transition procedures as an essential health benefit under plans offered by Exchanges. Sec. 302. Prohibiting Federal Medicaid and CHIP funding for certain items and services. I Increasing choice and reducing premiums 101. Exchange plan HSAs (a) In general Section 223 of the Internal Revenue Code of 1986 is amended by adding at the end the following new su…

Raw official payload (JSONB)

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  "url": "https://api.congress.gov/v3/bill/119/s/3386?format=json",
  "type": "S",
  "title": "Health Care Freedom for Patients Act of 2025",
  "number": "3386",
  "congress": 119,
  "updateDate": "2026-03-12",
  "latestAction": {
    "text": "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)",
    "actionDate": "2025-12-11"
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    "subjects": {
      "policyArea": {
        "name": "Health",
        "updateDate": "2025-12-10T14:40:05Z"
      },
      "legislativeSubjects": [
        {
          "name": "Abortion",
          "updateDate": "2025-12-12T20:58:20Z"
        },
        {
          "name": "Child health",
          "updateDate": "2025-12-12T20:58:01Z"
        },
        {
          "name": "Department of Health and Human Services",
          "updateDate": "2025-12-12T20:58:38Z"
        },
        {
          "name": "Drug therapy",
          "updateDate": "2025-12-12T20:58:13Z"
        },
        {
          "name": "Executive agency funding and structure",
          "updateDate": "2025-12-12T20:58:33Z"
        },
        {
          "name": "Government information and archives",
          "updateDate": "2025-12-12T20:58:30Z"
        },
        {
          "name": "Health care costs and insurance",
          "updateDate": "2025-12-12T20:57:33Z"
        },
        {
          "name": "Health care coverage and access",
          "updateDate": "2025-12-12T20:57:28Z"
        },
        {
          "name": "Health programs administration and funding",
          "updateDate": "2025-12-12T20:57:21Z"
        },
        {
          "name": "Immigration status and procedures",
          "updateDate": "2025-12-12T20:58:06Z"
        },
        {
          "name": "Income tax credits",
          "updateDate": "2025-12-12T20:58:25Z"
        },
        {
          "name": "Intergovernmental relations",
          "updateDate": "2025-12-12T20:57:45Z"
        },
        {
          "name": "Medicaid",
          "updateDate": "2025-12-12T20:57:57Z"
        },
        {
          "name": "Poverty and welfare assistance",
          "updateDate": "2025-12-12T20:57:49Z"
        },
        {
          "name": "Sex, gender, sexual orientation discrimination",
          "updateDate": "2025-12-12T20:58:10Z"
        },
        {
          "name": "State and local finance",
          "updateDate": "2025-12-12T20:57:41Z"
        },
        {
          "name": "State and local government operations",
          "updateDate": "2025-12-12T20:57:37Z"
        },
        {
          "name": "Surgery and anesthesia",
          "updateDate": "2025-12-12T20:58:17Z"
        }
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  "originChamberCode": "S",
  "text_version_type": "Placed on Calendar Senate",
  "updateDateIncludingText": "2026-03-12"
}

Contributing member votes

MemberPositionOfficial roll call
Baldwin, Tammy (B001230)Naysenate roll 643
Cruz, Ted (C001098)Yeasenate roll 643
Warren, Elizabeth (W000817)Naysenate roll 643
Cassidy, Bill (C001075)Yeasenate roll 643
Scott, Tim (S001184)Yeasenate roll 643
Murray, Patty (M001111)Naysenate roll 643
Grassley, Chuck (G000386)Yeasenate roll 643
Schiff, Adam B. (S001150)Naysenate roll 643
Booker, Cory A. (B001288)Naysenate roll 643
Mullin, Markwayne (M001190)Yeasenate roll 643
Young, Todd (Y000064)Yeasenate roll 643
Wyden, Ron (W000779)Naysenate roll 643
Wicker, Roger F. (W000437)Yeasenate roll 643
Whitehouse, Sheldon (W000802)Naysenate roll 643
Welch, Peter (W000800)Naysenate roll 643
Warnock, Raphael G. (W000790)Naysenate roll 643
Warner, Mark R. (W000805)Naysenate roll 643
Van Hollen, Chris (V000128)Naysenate roll 643
Tuberville, Tommy (T000278)Yeasenate roll 643
Tillis, Thomas (T000476)Yeasenate roll 643
Thune, John (T000250)Yeasenate roll 643
Sullivan, Dan (S001198)Yeasenate roll 643
Smith, Tina (S001203)Naysenate roll 643
Slotkin, Elissa (S001208)Naysenate roll 643
Sheehy, Tim (S001232)Yeasenate roll 643
Shaheen, Jeanne (S001181)Naysenate roll 643
Scott, Rick (S001217)Yeasenate roll 643
Schumer, Charles E. (S000148)Naysenate roll 643
Schmitt, Eric (S001227)Yeasenate roll 643
Schatz, Brian (S001194)Naysenate roll 643
Sanders, Bernard (S000033)Naysenate roll 643
Rounds, Mike (R000605)Yeasenate roll 643
Rosen, Jacky (R000608)Naysenate roll 643
Risch, James E. (R000584)Yeasenate roll 643
Ricketts, Pete (R000618)Yeasenate roll 643
Reed, Jack (R000122)Naysenate roll 643
Peters, Gary C. (P000595)Naysenate roll 643
Paul, Rand (P000603)Naysenate roll 643
Padilla, Alex (P000145)Naysenate roll 643
Ossoff, Jon (O000174)Naysenate roll 643
Murphy, Christopher (M001169)Naysenate roll 643
Britt, Katie Boyd (B001319)Yeasenate roll 643
Murkowski, Lisa (M001153)Yeasenate roll 643
Moreno, Bernie (M001242)Yeasenate roll 643
Moran, Jerry (M000934)Yeasenate roll 643
Merkley, Jeff (M001176)Naysenate roll 643
McCormick, David (M001243)Yeasenate roll 643
McConnell, Mitch (M000355)Yeasenate roll 643
Marshall, Roger (M001198)Yeasenate roll 643
Markey, Edward J. (M000133)Naysenate roll 643
Lummis, Cynthia M. (L000571)Yeasenate roll 643
Luján, Ben Ray (L000570)Naysenate roll 643
Lee, Mike (L000577)Yeasenate roll 643
Lankford, James (L000575)Yeasenate roll 643
Klobuchar, Amy (K000367)Naysenate roll 643
King, Angus S., Jr. (K000383)Naysenate roll 643
Kim, Andy (K000394)Naysenate roll 643
Kennedy, John (K000393)Yeasenate roll 643
Kelly, Mark (K000377)Naysenate roll 643
Kaine, Tim (K000384)Naysenate roll 643
Justice, James C. (J000312)Yeasenate roll 643
Johnson, Ron (J000293)Yeasenate roll 643
Hyde-Smith, Cindy (H001079)Yeasenate roll 643
Husted, Jon (H001104)Yeasenate roll 643
Hoeven, John (H001061)Yeasenate roll 643
Hirono, Mazie K. (H001042)Naysenate roll 643
Hickenlooper, John W. (H000273)Naysenate roll 643
Heinrich, Martin (H001046)Naysenate roll 643
Hawley, Josh (H001089)Yeasenate roll 643
Hassan, Margaret Wood (H001076)Naysenate roll 643
Hagerty, Bill (H000601)Yeasenate roll 643
Gillibrand, Kirsten E. (G000555)Naysenate roll 643
Gallego, Ruben (G000574)Naysenate roll 643
Fischer, Deb (F000463)Yeasenate roll 643
Fetterman, John (F000479)Naysenate roll 643
Ernst, Joni (E000295)Yeasenate roll 643
Durbin, Richard J. (D000563)Naysenate roll 643
Duckworth, Tammy (D000622)Naysenate roll 643
Daines, Steve (D000618)Not Votingsenate roll 643
Curtis, John R. (C001114)Yeasenate roll 643
Crapo, Mike (C000880)Yeasenate roll 643
Cramer, Kevin (C001096)Yeasenate roll 643
Cotton, Tom (C001095)Yeasenate roll 643
Cortez Masto, Catherine (C001113)Naysenate roll 643
Cornyn, John (C001056)Yeasenate roll 643
Coons, Christopher A. (C001088)Naysenate roll 643
Collins, Susan M. (C001035)Yeasenate roll 643
Capito, Shelley Moore (C001047)Yeasenate roll 643
Cantwell, Maria (C000127)Naysenate roll 643
Budd, Ted (B001305)Yeasenate roll 643
Boozman, John (B001236)Yeasenate roll 643
Blunt Rochester, Lisa (B001303)Naysenate roll 643
Blumenthal, Richard (B001277)Naysenate roll 643
Blackburn, Marsha (B001243)Yeasenate roll 643
Bennet, Michael F. (B001267)Naysenate roll 643
Barrasso, John (B001261)Yeasenate roll 643
Banks, Jim (B001299)Yeasenate roll 643
Alsobrooks, Angela D. (A000382)Naysenate roll 643
Graham, Lindsey (G000359)Yeasenate roll 643
Moody, Ashley (M001244)Yeasenate roll 643

Citations