H.R. 247: Health Care Affordability Act of 2025
Sponsor
Lauren Underwood
Democrat · IL-14
Bill Progress
Latest Action · Jan 9, 2025
Referred to the House Committee on Ways and Means.
ACA shoppers shouldn’t lose subsidies over one raise
Why it matters
Right now, marketplace help can disappear once your income goes above 400% of the federal poverty line. H.R. 247 would end that subsidy cliff and keep premium tax credits available on a sliding scale for 2026 and later coverage.
H.R. 247 removes the ACA rule that cuts off premium tax credit eligibility above 400% of the federal poverty line for people buying marketplace coverage.
Instead of losing all help at once, people above that income level could still qualify, with their share of the premium set under a sliding scale. The bill keeps the existing tax credit structure in place — it just widens who can use it.
The bill also rewrites how the premium percentage is calculated across income bands so assistance phases out more smoothly. It does not create a new insurance program or a new penalty.
If Congress passes it, the change would apply to tax years starting after December 31, 2025, which means 2026 coverage and later.
H.R. 247 Bill Summary
What H.R. 247 actually does.
The ACA subsidy cliff disappears
H.R. 247 removes the income cutoff that currently ends premium tax credit eligibility once household income goes above 400% of the federal poverty line.
Higher-income marketplace shoppers can still get help
People buying qualified marketplace plans would no longer be automatically excluded from premium tax credits just because their income is above the old cap.
Premium contributions stay on a sliding scale
The bill says the share you pay toward coverage should rise in a linear sliding scale across income tiers, rather than dropping assistance all at once at one threshold.
The bill keeps the existing ACA credit structure
This is not a new subsidy program. H.R. 247 expands eligibility for the current refundable premium tax credit tied to qualified health plans.
Changes start with 2026 tax years
The bill applies to tax years beginning after December 31, 2025, so the new rules would affect 2026 coverage and later filings.
Who benefits from H.R. 247?
People just above the old income cutoff
If your household income lands a little over 400% of the federal poverty line, you could still qualify for premium help instead of losing it all at once.
Families buying their own coverage on the ACA marketplace
Households without job-based insurance could see more predictable premiums because assistance would phase out gradually instead of ending at one line.
Older adults facing high sticker-price premiums
People in their 50s and early 60s who buy marketplace coverage often face the highest unsubsidized premiums, so keeping credits available above the old cap could matter most for them.
Anyone whose income changes year to year
If your pay fluctuates, H.R. 247 could reduce the risk that a modest raise suddenly wipes out your ACA help.
Who is affected by H.R. 247?
Marketplace enrollees across income levels
People buying qualified health plans would see a different subsidy formula, especially those above the old 400% cutoff.
Tax filers claiming premium tax credits
Your eligibility and credit amount could change because the bill expands access to the existing refundable ACA premium credit.
IRS and marketplace administrators
Federal and state systems would need to apply the new sliding-scale formula for plan years tied to tax years starting in 2026.
The federal budget
Because more households could qualify for premium tax credits, the bill would likely increase federal subsidy costs unless Congress adds offsets elsewhere.
HR247 Legislative Journey
House: Committee Action
Jan 9, 2025
Referred to the House Committee on Ways and Means.
About the Sponsor
Lauren Underwood
Democrat, Illinois's 14th congressional district · 7 years in Congress
Committees: Appropriations
View full profile →
Cosponsors (165)
All 165 cosponsors are Democrats. Cosponsors represent 38 states: Alabama, Arizona, California, and 35 more.
Kathy Castor
Democrat · FL
Janice Schakowsky
Democrat · IL
Diana DeGette
Democrat · CO
Raúl Grijalva
Democrat · AZ
Brittany Pettersen
Democrat · CO
Nanette Barragán
Democrat · CA
Jimmy Panetta
Democrat · CA
Steny Hoyer
Democrat · MD
Eleanor Norton
Democrat · DC
Dina Titus
Democrat · NV
Joseph Morelle
Democrat · NY
Paul Tonko
Democrat · NY
Cosponsor Coverage Map
Committee Sponsors
Ways and Means Committee
13 of 45 committee members cosponsored
6 Democrats across this committee haven't cosponsored yet. Mobilize their constituents
What laws does H.R. 247 change?
2 changes
Sections Amended
Section 36B(c) of such Code
striking subparagraph (E)
Section 36B(c) of such Code
striking subparagraph (F)
H.R. 247 Quick Facts
- Committee
- Ways and Means
- Chamber
- House
- Policy
- Taxation
- Introduced
- Jan 9, 2025
Referred to the House Committee on Ways and Means.
Jan 9, 2025
Official Sources
Official Congress.gov page for the Health Care Affordability Act of 2025, with status, text, and cosponsors.
The bill directly amends Internal Revenue Code section 36B, which governs the ACA premium tax credit.
Official marketplace explanation of how premium tax credits lower monthly ACA premiums for eligible enrollees.
Official overview of the ACA marketplace where qualified health plans are purchased and premium tax credits are used.
IRS hub for ACA tax rules affecting individuals, including premium tax credit administration and filing.
Official IRS page for the form taxpayers use to calculate and reconcile the premium tax credit referenced in the bill.
Congressional Budget Office search page to check whether an official cost estimate has been published for H.R. 247.
H.R. 247 Common Questions
What does H.R. 247 do?
H.R. 247 ends the ACA income cutoff that can block premium tax credits once your household income goes above 400% of the federal poverty line.
If your income is over 400% of poverty, can you still get ACA subsidies?
Under H.R. 247, yes. The bill lets people above that income level keep qualifying for marketplace premium tax credits instead of being cut off entirely.
When would H.R. 247 take effect?
The bill says the change would apply to tax years beginning after December 31, 2025, so it would affect 2026 coverage and later.
Does H.R. 247 create a new ACA subsidy?
No. It expands eligibility for the existing ACA premium tax credit rather than creating a separate new benefit.
How would subsidies work above the old income cap?
H.R. 247 says premium contributions would rise on a sliding scale across income tiers, so help phases out more smoothly instead of ending at one line.
Does this bill change who can use ACA marketplace tax credits?
Yes. The biggest change is that people above the old 400%-of-poverty cutoff could still qualify if they buy a qualified marketplace health plan.
Would H.R. 247 help people with job-based insurance?
Not directly. H.R. 247 is about the ACA premium tax credit for people buying qualified health plans through the marketplace.
Based on H.R. 247 bill text
H.R. 247 Bill Text
“To amend the Internal Revenue Code of 1986 to expand eligibility for the refundable credit for coverage under a qualified health plan.”
Source: U.S. Government Publishing Office
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