The Accountability for Better Care Act of 2025 modifies the federal subsidies that help low- and middle-income Americans afford health insurance purchased through the Affordable Care Act marketplace. Specifically, the bill extends enhanced premium tax credits through 2027 (instead of ending in 2025) and adjusts how those credits are calculated for people earning between 400 and 600 percent of the federal poverty level, with higher earners potentially paying more out of pocket. The legislation also adds citizenship requirements for receiving premium assistance and cost-sharing reductions, and prohibits marketplace insurance plans from covering abortion except in cases where the mother's life is endangered or the pregnancy results from rape or incest. The bill authorizes whatever funding is necessary from the U.S. Treasury to pay for cost-sharing reductions beginning in 2027, with all changes taking effect for tax years beginning after December 31, 2025.
Take Action
Your position
Add a comment
to comment on this bill.
Annotate the text
Highlight any passage on the Summary or Full Text tab to attach a note. Annotations appear on the Annotations tab.