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S3386: Health Care Freedom for Patients Act of 2025
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S3386: Health Care Freedom for Patients Act of 2025

119th Congress (2025–2027) · Senate bill · Sponsor: Sen. Crapo, Mike [R-ID]


Key facts

Item Detail
Roll-call votes 1
Chamber Senate
Latest vote 2025-12-11: Cloture Motion Rejected (51-48, 3/5 majority required)
Latest action 2025-12-11: 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)
Policy area Health
Official record Congress.gov

What the bill does

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…

Subjects: Abortion, Child health, Department of Health and Human Services, Drug therapy, Executive agency funding and structure, Government information and archives, Health care costs and insurance, Health care coverage and access, Health programs administration and funding, Immigration status and procedures


Roll-call votes on S3386 (119th Congress)

Every recorded vote on this bill, newest first, with a link to the official tally. Member-by-member positions are on each member’s profile.

Date Chamber Question Result Yea Nay Not voting Record
2025-12-11 Senate On the Cloture Motion S. 3386 Cloture Motion Rejected (51-48, 3/5 majority required) 50 47 1 Official tally

Frequently asked

What is S3386 in the 119th Congress?

S3386 (Health Care Freedom for Patients Act of 2025) was introduced in the 119th Congress (2025–2027) by Sen. Crapo, Mike [R-ID].

What is the latest action on S3386?

On 2025-12-11: 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)

How many roll-call votes were held on S3386?

1 recorded vote in the 119th Congress. The most recent, on 2025-12-11, was "On the Cloture Motion S. 3386": Cloture Motion Rejected (51-48, 3/5 majority required).