Bills · HR 1157
IN COMMITTEE· 119TH CONGRESS
House BillHR 1157Health care costs and insuranceHealth information and medical records
ACCESS Act
INTRO FEB 10· LAST ACTION FEB 10
READING
6MIN
COSPONSORS
3
READER REACTIONS0 TOTAL
NO VOTES YET · BE THE FIRST
- Introduced only
LEGISLATIVE PROGRESS
STEP 2 / 8Introduced
In Committee
Reported
Passed House
Passed Senate
Conference
To President
Became Law
WHAT THE BILL DOES
AI-writtenThis bill matters because it changes how some financial assistance for healthcare is delivered under the Affordable Care Act, giving eligible individuals more control over their healthcare dollars. Instead of just seeing lower out-of-pocket costs, people could save money tax-free in an HSA for future medical expenses, which could be particularly beneficial for those who anticipate fewer medical needs in a given year or want to build long-term savings for healthcare.
If this bill becomes law, it could lead to more people choosing high-deductible health plans on the ACA marketplaces, potentially changing the types of plans offered and the choices available. If it doesn't pass, the current system of only offering cost-sharing reductions to lower immediate out-of-pocket costs would remain in place, and individuals would not have the option to receive direct HSA contributions instead.
KEY PROVISIONS
5AI-extractedPROVISION 01
Allows individuals enrolled in an ACA marketplace high deductible health plan, and eligible for cost-sharing reductions, to elect to receive contributions to an HSA in place of those reductions.
Gives eligible individuals a new choice in how they receive financial assistance for healthcare, allowing them to build savings.
PROVISION 02
Requires health insurance issuers offering certain "silver level" plans that are not high deductible plans to also offer an actuarially equivalent high deductible health plan.
Expands the availability of high deductible health plans on the ACA marketplace for those seeking this new option.
PROVISION 03
Mandates that funds contributed to an HSA under this program can only be distributed via a "qualified medical debit card" specifically for medical care expenses.
Ensures that the funds are used solely for healthcare costs and prevents their use for non-medical expenses.
PROVISION 04
Establishes a permanent appropriation for the government to make payments to health insurance issuers, reimbursing them for the HSA contributions made to individuals.
Guarantees ongoing federal funding for this new program, ensuring its financial stability if enacted.
PROVISION 05
Requires health insurance issuers and ACA Exchanges to provide public education to prospective enrollees about this new HSA option and how to use an HSA.
Ensures that eligible individuals are aware of the new choice and understand how to access and manage a Health Savings Account.
SPONSORSHIP
1 + 3
R· Florida
YRS IN OFFICE
7
BILLS LED
113
COSPONSOR BREAKDOWNBIPARTISAN · 0%
DEM 0 REP 3 IND 0
ACTION TIMELINE
2 EVENTSFEB 10
Introduced in House
FEB 10
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.
BILL INFO
TypeHouse Bill
NumberHR 1157
Congress119th
StatusIn Committee
IntroducedFeb 10, 2025
Last actionFeb 10, 2025
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IN COMMITTEE· 119TH CONGRESS · WAYS AND MEANS COMMITTEE · INTRODUCED FEB 10, 2025
House BillHR 1157Health care costs and insuranceHealth information and medical records
ACCESS Act
INTRODUCED FEB 10, 2025· LAST ACTION FEB 10, 2025
PASSAGE CHANCES
—%
READING
6 min
COSPONSORS
3
COMPLEXITY
Moderate
