S. 3386Health Care Freedom for Patients Act of 2025

1 recorded actionWhat the measure does Read on Congress.gov

Sponsor: Mike Crapo [R-ID]
Cosponsors: 1 · 1 Republican
Policy area: Health
Latest action: Dec 11, 2025 · 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)

IntroducedDec 8, 2025
Passed the SenateNot yet reached
Passed the HouseNot yet reached
Sent to the PresidentNot yet reached
Became lawNot yet reached

What the measure doesCRS summary

This 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 and CHIP for these procedures.

Written by the nonpartisan Congressional Research Service, describing S. 3386 as introduced in Senate on Dec 8, 2025. It is not the text of the measure; a later amendment may have changed what it does.

How every member votedSenate roll call 643

Senate Dec 11, 2025

On the Cloture Motion

Motion to Invoke Cloture: Motion to Proceed to S. 3386

Cloture Motion Rejected

51 Yea 48 Nay 1 not voting

Party-line vote 1 of 99 voting members broke with their own party: 1 Republican.

Open the official roll call

How the chamber split

One dot per member. Select a seat or a bar to filter the list.

DemocratsIndependentsRepublicansFilled: YeaRing: NayGrey: not voting or present

By party select a segment to filter

All members100 members

Democratic45 members

Independent2 members

Republican53 members

marks half of the votes cast. A party’s majority is the side most of its voting members took.

Cosponsors1 · 1 Republican

Signing on is not a vote: a member can cosponsor S. 3386 and vote against it. 1 signed when it was filed.

RBill Cassidy [R-LA]Original2026 profile

Loading the public record

All recent votes 119th CongressSenate

S. 3386Health Care Freedom for Patients Act of 2025

1 recorded actionWhat the measure does Read on Congress.gov

Sponsor: Mike Crapo [R-ID]
Cosponsors: 1 · 1 Republican
Policy area: Health
Latest action: Dec 11, 2025 · 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)

IntroducedDec 8, 2025
Passed the SenateNot yet reached
Passed the HouseNot yet reached
Sent to the PresidentNot yet reached
Became lawNot yet reached

What the measure doesCRS summary

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.

Finally, the bill prohibits exchange plans from covering gender-transition procedures as an essential health benefit and prohibits federal payment under Medicaid and CHIP for these procedures.

How every member votedSenate roll call 643

Senate Dec 11, 2025

On the Cloture Motion

Motion to Invoke Cloture: Motion to Proceed to S. 3386

Cloture Motion Rejected

51 Yea 48 Nay 1 not voting

Party-line vote 1 of 99 voting members broke with their own party: 1 Republican.

Open the official roll call

How the chamber split

One dot per member. Select a seat or a bar to filter the list.

DemocratsIndependentsRepublicansFilled: YeaRing: NayGrey: not voting or present

By party select a segment to filter

All members100 members

Democratic45 members

Independent2 members

Republican53 members

marks half of the votes cast. A party’s majority is the side most of its voting members took.

Cosponsors1 · 1 Republican

Signing on is not a vote: a member can cosponsor S. 3386 and vote against it. 1 signed when it was filed.

RBill Cassidy [R-LA]Original2026 profile

Who lobbied on S. 338618 organizations

Organizations that named S. 3386 in a lobbying disclosure. Only those that cited the bill by number appear, so this is a floor, not a full list.

AMERICAN BANKERS ASSOCIATIONfiled by SPANGLER STRATEGIES LLCIts PAC: American Bankers Association PAC

Taxation/Internal Revenue Code · Consumer Issues/Safety/Products4 filings · 3rd Quarter (July 1 - Sep 30) 2026Filing

ASSOCIATION OF AMERICAN MEDICAL COLLEGES

Animals · Budget/Appropriations · Education · Health Issues +6 more4 filings · 3rd Quarter (July 1 - Sep 30) 2026Filing

HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)filed by THE D MAJOR GROUP

Insurance · Medicare/Medicaid4 filings · 3rd Quarter (July 1 - Sep 30) 2026Filing

HEALTHEQUITY, INC.Its PAC: Healthequity, Inc. Purple PAC

Health Issues · Taxation/Internal Revenue Code4 filings · 3rd Quarter (July 1 - Sep 30) 2026Filing

HIGHMARK INCfiled by HIGHMARK, INC.Its PAC: Highmark PAC of Highmark Inc.

Pharmacy · Health Issues · Medicare/Medicaid · Taxation/Internal Revenue Code4 filings · 2nd Quarter (Apr 1 - June 30) 2026Filing

AMERICAN MEDICAL ASSOCIATIONIts PAC: American Medical Association PAC

Budget/Appropriations · Education · Health Issues · Immigration +7 more3 filings · 1st Quarter (Jan 1 - Mar 31) 2026Filing

NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERSfiled by MASON CONSULTING, LLC

Budget/Appropriations · Education · Environment/Superfund · Health Issues +5 more3 filings · 3rd Quarter (July 1 - Sep 30) 2026Filing

NATIONAL MULTIPLE SCLEROSIS SOCIETY

Budget/Appropriations · Health Issues · Medicare/Medicaid · Medical/Disease Research/Clinical Labs +1 more3 filings · 3rd Quarter (July 1 - Sep 30) 2026Filing

AMERICAN CIVIL LIBERTIES UNION

Civil Rights/Civil Liberties2 filings · 1st Quarter (Jan 1 - Mar 31) 2026Filing

ECONOMIC SECURITY PROJECT ACTION, INC. AND ITS AFFILIATES

Taxation/Internal Revenue Code · Labor Issues/Antitrust/Workplace · Health Issues2 filings · 2nd Quarter (Apr 1 - June 30) 2026Filing

43 disclosures name this measure. Retrieved from LDA.gov on 2026-10-25. Senate Office of Public Records cannot vouch for the data or analyses derived from these data after the data have been retrieved from LDA.gov.

Who lobbied on S. 338618 organizations

Organizations that named S. 3386 in a lobbying disclosure. Only those that cited the bill by number appear, so this is a floor, not a full list.

AMERICAN BANKERS ASSOCIATIONfiled by SPANGLER STRATEGIES LLCIts PAC: American Bankers Association PAC

Taxation/Internal Revenue Code · Consumer Issues/Safety/Products4 filings · 3rd Quarter (July 1 - Sep 30) 2026Filing

ASSOCIATION OF AMERICAN MEDICAL COLLEGES

Animals · Budget/Appropriations · Education · Health Issues +6 more4 filings · 3rd Quarter (July 1 - Sep 30) 2026Filing

HEALTH CARE SERVICE CORPORATION, A MUTUAL LEGAL RESERVE COMPANY (HCSC)filed by THE D MAJOR GROUP

Insurance · Medicare/Medicaid4 filings · 3rd Quarter (July 1 - Sep 30) 2026Filing

HEALTHEQUITY, INC.Its PAC: Healthequity, Inc. Purple PAC

Health Issues · Taxation/Internal Revenue Code4 filings · 3rd Quarter (July 1 - Sep 30) 2026Filing

HIGHMARK INCfiled by HIGHMARK, INC.Its PAC: Highmark PAC of Highmark Inc.

Pharmacy · Health Issues · Medicare/Medicaid · Taxation/Internal Revenue Code4 filings · 2nd Quarter (Apr 1 - June 30) 2026Filing

AMERICAN MEDICAL ASSOCIATIONIts PAC: American Medical Association PAC

Budget/Appropriations · Education · Health Issues · Immigration +7 more3 filings · 1st Quarter (Jan 1 - Mar 31) 2026Filing

NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERSfiled by MASON CONSULTING, LLC

Budget/Appropriations · Education · Environment/Superfund · Health Issues +5 more3 filings · 3rd Quarter (July 1 - Sep 30) 2026Filing

NATIONAL MULTIPLE SCLEROSIS SOCIETY

Budget/Appropriations · Health Issues · Medicare/Medicaid · Medical/Disease Research/Clinical Labs +1 more3 filings · 3rd Quarter (July 1 - Sep 30) 2026Filing

AMERICAN CIVIL LIBERTIES UNION

Civil Rights/Civil Liberties2 filings · 1st Quarter (Jan 1 - Mar 31) 2026Filing

ECONOMIC SECURITY PROJECT ACTION, INC. AND ITS AFFILIATES

Taxation/Internal Revenue Code · Labor Issues/Antitrust/Workplace · Health Issues2 filings · 2nd Quarter (Apr 1 - June 30) 2026Filing