House bill · H.R. 4849 (119th Congress)
Protecting Health Care and Lowering Costs Act of 2025
U.S. House of Representatives
Sponsor: Adam Gray (U.S. Representative, CA-13, Democratic)
Following needs an Agora account. You will sign in first, then come back to this page.
From Congress.gov and official rosters. This record was last updated Jul 30, 2026. About our data
Summary
Protecting Health Care and Lowering Costs Act 2025 This bill makes permanent temporary provisions that generally expand eligibility for and increase the amount of the premium tax credit. This bill also repeals multiple Medicaid, Medicare, and health-related tax provisions enacted by the One Big Beautiful Bill Act (OBBBA). Currently, eligible taxpayers may claim the premium tax credit, which applies toward the cost of obtaining health insurance through health insurance exchanges. To qualify, a taxpayer’s household income must meet or exceed 100% of the federal poverty level (FPL) and, after 2025, may not exceed 400% of the FPL (maximum income limit). For 2021-2025, the maximum income limit is eliminated, which generally expands eligibility for the premium tax credit. Further, under current law, the amount of the premium tax credit is partially based on the taxpayer’s household income multiplied by the applicable percentage. The applicable percentage varies depending on which of six income ranges (adjusted for inflation after 2025) the taxpayer’s household income falls within. For 2021-2025, the applicable percentages are lowered and the adjustment of the applicable percentages for inflation is eliminated, which generally increases the amount of the premium tax credit. The bill permanently eliminates the 400% maximum income limit, lowers the applicable percentages, and eliminates the inflation adjustment for the applicable percentages. Finally, the bill repeals multiple Medicaid, Medicare, and health-related tax provisions enacted by the OBBBA, including certain Medicare and Medicare eligibility and verification requirements, the reduced window for retroactive Medicaid coverage, and premium tax credit verification requirements.
Summary from the Congressional Research Service. How we handle summaries
Where it stands
Assigned to a committee for review.
- Introduced
- In committee
- Up for a vote
- Passed one chamber
- Passed
- Enacted
Committee
House Committee on Energy and Commerce · U.S. House of Representatives
Also referred to House Committee on Ways and Means · U.S. House of Representatives.
Your position on this bill
Choose the position closest to yours. You'll sign in or create an account to save it.
Cosponsors
141
Showing the 138 who are on Agora, A to Z. Congress.gov listed 141 as of Jul 31, 2026.
See all cosponsors on Congress.gov (opens in a new tab)- Democratic138
Party is shown for the 138 cosponsors who are on Agora.
Shown in neutral colors by design; Agora is non-partisan.
- Adam Smith
- Adelita S. Grijalva
- Al Green
- Alexandria Ocasio-Cortez
- Ami Bera
- Andrea Salinas
- Angie Craig
- April McClain Delaney
- Becca Balint
- Bennie G. Thompson
- Betty McCollum
- Bonnie Watson Coleman
Show the full list (138 names)Show fewer cosponsors
- Brad Sherman
- Bradley Scott Schneider
- Brendan F. Boyle
- Brittany Pettersen
- Chellie Pingree
- Chris Pappas
- Christian D. Menefee
- Christopher R. Deluzio
- Cleo Fields
- Daniel S. Goldman
- Danny K. Davis
- Darren Soto
- Debbie Dingell
- Deborah K. Ross
- Derek Tran
- Diana DeGette
- Dina Titus
- Donald Norcross
- Doris O. Matsui
- Eleanor Holmes Norton
- Emanuel Cleaver
- Emilia Strong Sykes
- Emily Randall
- Eric Sorensen
- Frank Pallone, Jr.
- Gabe Amo
- Gabe Vasquez
- George Latimer
- George Whitesides
- Gilbert Ray Cisneros, Jr.
- Glenn Ivey
- Grace Meng
- Greg Landsman
- Haley M. Stevens
- Henry C. "Hank" Johnson, Jr.
- Henry Cuellar
- Ilhan Omar
- J. Luis Correa
- James A. Himes
- James P. McGovern
- Janelle S. Bynum
- Janice D. Schakowsky
- Jared Huffman
- Jasmine Crockett
- Jennifer L. McClellan
- Jerrold Nadler
- Jesús G. "Chuy" García
- Jill N. Tokuda
- Jim Costa
- Jimmy Panetta
- Joaquin Castro
- John B. Larson
- John Garamendi
- John W. Mannion
- Johnny Olszewski, Jr.
- Jonathan L. Jackson
- Josh Gottheimer
- Josh Riley
- Joyce Beatty
- Judy Chu
- Julia Brownley
- Julie Johnson
- Kathy Castor
- Kelly Morrison
- Kevin Mullin
- Kim Schrier
- Kristen McDonald Rivet
- Lateefah Simon
- Laura Friedman
- Lauren Underwood
- Lizzie Fletcher
- Lois Frankel
- Lori Trahan
- Luz M. Rivas
- Madeleine Dean
- Marc A. Veasey
- Marilyn Strickland
- Mark Pocan
- Mark Takano
- Mary Gay Scanlon
- Maxine Dexter
- Maxine Waters
- Mike Quigley
- Mike Thompson
- Nancy Pelosi
- Nanette Diaz Barragán
- Nikki Budzinski
- Norma J. Torres
- Nydia M. Velázquez
- Paul Tonko
- Pramila Jayapal
- Raja Krishnamoorthi
- Rashida Tlaib
- Raul Ruiz
- Rick Larsen
- Ritchie Torres
- Robert C. "Bobby" Scott
- Robert Menendez
- Robin L. Kelly
- Salud O. Carbajal
- Sam T. Liccardo
- Sanford D. Bishop, Jr.
- Sara Jacobs
- Sarah McBride
- Sean Casten
- Seth Magaziner
- Seth Moulton
- Shomari Figures
- Shri Thanedar
- Stephen F. Lynch
- Steve Cohen
- Steven Horsford
- Suhas Subramanyam
- Summer L. Lee
- Suzan K. DelBene
- Suzanne Bonamici
- Ted Lieu
- Teresa Leger Fernandez
- Terri A. Sewell
- Thomas R. Suozzi
- Timothy M. Kennedy
- Troy A. Carter
- Vicente Gonzalez
- Wesley Bell
- Yassamin Ansari
- Yvette D. Clarke
Related bills
- H.R. 247Health Care Affordability Act of 2025Related bill
- H.R. 7767Make Billionaires Pay Their Fair Share ActRelated bill
- S. 46Health Care Affordability Act of 2025Related bill
- S. 2556Protecting Health Care and Lowering Costs ActRelated bill
- S. 3956Make Billionaires Pay Their Fair Share ActRelated bill
As identified by Congress.gov.
Full history
- Sep 30, 2025
Introduced
Introduced in U.S. House
U.S. House
- Aug 1, 2025
Introduced
Introduced in House
U.S. House of Representatives
- Aug 1, 2025
In committee
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.
U.S. House
- Aug 1, 2025
Referred to committee
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.
- Aug 1, 2025
Referred to committee
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.
Show full history (1 earlier event)Show less history
- Aug 1, 2025
Referred to committee
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.
Read the record
- Read on Congress.gov (opens in a new tab) The official record on Congress.gov.