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More Affordable Care Act

In committee: it can still change before the session ends.

US HR 6538 · House Bill · 119th Congress

Stage
In committee
Started in
House
Sponsors
7
Latest action
Dec 9, 2025

What it does

The bill would establish a "health freedom waiver program" allowing states to opt out of certain Affordable Care Act requirements—such as premium tax credits, cost-sharing reductions, and individual and employer mandates—if they maintain a high-risk insurance pool, with federal funds redirected into Trump Health Freedom Accounts for eligible residents. It affects states seeking waivers, individuals enrolled in state exchanges, and health insurers, requiring states to notify the Secretary of Health and Human Services or Treasury and maintain risk-mitigation programs. Notable provisions include prohibiting the use of Trump Health Freedom Account funds for gender transition procedures or…

No official summary is available here. This one was written by AI from the bill’s text.

Read the full textRead it on the official site

Where it stands

  1. Introduced (Done)

    Dec 9, 2025

  2. Committee (Current step)

    In committee · Dec 9, 2025

  3. Floor (Not started)

  4. Law (Not started)

What moved

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Who is involved

Sponsors

The lawmakers who put their names on it, lead sponsors first.

In the news

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Where it goes next

While a bill can still move, the questions are about people and money.

Work with this bill

More Affordable Care Act | 52