H.R. 6246

119 HR 6246 IH: Save American Healthcare Act
 U.S. House of Representatives
 2025-11-21
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 I  119th CONGRESS  1st Session  H. R. 6246  IN THE HOUSE OF REPRESENTATIVES   November 21, 2025   Mr. Thanedar  introduced the following bill; which was referred to the  Committee on Ways and Means    A BILL
To amend the Internal Revenue Code of 1986 to extend certain provisions of the health insurance premium tax credit using tariff revenue.
1.
Short title
This Act may be cited as the   Save American Healthcare Act  .
2.
Extension of health insurance premium tax credit provisions
(a)
Extension of rule To allow credit to taxpayers whose household income exceeds
400  percent of poverty line
Subparagraph (E) of  section 36B(c)(1)  of the Internal Revenue Code of 1986 is amended to read as follows:
(E)
Temporary rule
(i)
In general
In the case of a taxable year beginning before the applicable date, subparagraph (A) shall be applied without regard to  but does not exceed 400 percent .
(ii)
Applicable date
For purposes of clause (i), the term  applicable date  means the latest date which the Secretary estimates will result in—
(I)
the sum of the increase in outlays, and the reduction in revenues, of the Federal Government by reason of this subparagraph and subsection (b)(3)(A)(iii), not exceeding
(II)
the decrease in outlays of the Federal Government by reason of amounts collected from tariffs that were imposed or increased after January 19, 2025.
(iii)
Method of estimation
To the maximum extent practicable, the estimates of the Secretary under clause (ii) shall be made in the same manner as such estimates are made by the Congressional Budget Office and the Joint Committee on Taxation with respect to proposed legislation.
  .
(b)
Extension of rules To increase premium assistance amounts
Clause (iii) of section 36B(b)(3)(A) of such Code is amended—
(1)
in the heading, by striking
for 2021 through 2025  , and
(2)
in the matter preceding subclause (I), by striking  January 1, 2026  and inserting  the applicable date (as defined in subsection (c)(1)(E)) .
(c)
Effective date
The amendments made by this section shall apply to taxable years beginning after December 31, 2025.