119th Congress · introduced in the House · Aug 1, 2025
Protecting Health Care and Lowering Costs Act of 2025
Official title from Congress.gov
Latest action (Aug 1, 2025): 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.
View on Congress.govPolicy area: Taxation
Congressional Research Service summary, version: Introduced in House (Aug 1, 2025)
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.
Show less of the summaryIncludes amendment, cloture, and procedural votes. Each is labeled with its exact question; only a passage question is a vote to pass the bill.
No recorded roll calls on this bill in coverage.
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.
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.
Introduced in House
Introduced in House
Actions from Congress.gov, newest first.
LD-2 reports whose issue descriptions explicitly cite this bill (bill type and number validated against Congress.gov records). A citation does not establish the client's position or any contact with a member.
Loading lobbying reportsCoverage: reports for 2025 onward, posted Jan 1, 2025 through Oct 24, 2026.
75 citations; showing the 25 most recently posted.
NATIONAL LEAGUE FOR NURSING · lobbying firm or registrant: MASON CONSULTING, LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 21, 2026 · issue area: Medicare/Medicaid
$30,000
Paid to lobbying firm
…ers Act H.R. 2586, Reentry Act of 2025 H.R. 4619, Medicare Mental Health Inpatient Equity Act of 2025 H.R. 4773/S. 3350, ACO Assignment Improvement Act of 2025 H.R. 4849/S. 2556, Protecting Health Care and Lowering Costs Act H.R. 5081/S. 2709, Telehealth Modernization Act H.R. 5199, Modernizing Rural Physician Assistant and Nur…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERS · lobbying firm or registrant: MASON CONSULTING, LLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 21, 2026 · issue area: Medicare/Medicaid
$24,000
Paid to lobbying firm
…684, Save Americas Rural Hospitals Act H.R. 4619, Medicare Mental Health Inpatient Equity Act of 2025 H.R. 4773/S. 3350, ACO Assignment Improvement Act of 2025 H.R. 4849/S. 2556, Protecting Health Care and Lowering Costs Act H.R. 5081/S. 2709, Telehealth Modernization Act H.R. 5199, Modernizing Rural Physician Assistant and Nur…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL WOMEN'S LAW CENTER ACTION FUND · lobbying firm or registrant: NATIONAL WOMEN'S LAW CENTER ACTION FUND
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Budget/Appropriations
$50,000
Spent on own lobbying
…Advocacy for reversing the One Big Beautiful Bill Acts health and nutrition program cuts, including through the Protecting Health Care and Lowering Costs Act (H.R. 4849/S. 2556) and the Restoring Food Security for American Families and Farmers Act (H.R. 6088/S. 3281) (House and Senate)
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ECONOMIC SECURITY PROJECT ACTION, INC. AND ITS AFFILIATES · lobbying firm or registrant: ECONOMIC SECURITY PROJECT ACTION, INC. AND ITS AFFILIATES
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Taxation/Internal Revenue Code
$60,000
Spent on own lobbying
…rent credit; expand the CTC to reach children left out because their parents don't earn enough; oppose EITC pre-certification; support the Direct File program. H.R. 4849/S. 2556, Protecting Healthcare and Lowering Costs Act of 2025 (Rep. Gray/Sen. Schumer): Support permanently extending ACA enhanced premium tax credits. H.R. 27…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ECONOMIC SECURITY PROJECT ACTION, INC. AND ITS AFFILIATES · lobbying firm or registrant: ECONOMIC SECURITY PROJECT ACTION, INC. AND ITS AFFILIATES
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$60,000
Spent on own lobbying
H.R. 4849/S. 2556, Protecting Healthcare and Lowering Costs Act of 2025 (Rep. Gray/Sen. Schumer): Support repeal of the healthcare title of H.R. 1 and permanently extend…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN FEDERATION OF TEACHERS · lobbying firm or registrant: AMERICAN FEDERATION OF TEACHERS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$420,000
Spent on own lobbying
…Maternal Deaths Reauthorization Act Repeal healthcare provisions of H.R.1, One Big Beautiful Bill Act H.R.5557, Mental Health Services for Students Act S.2556/H.R.4849, Protecting Health Care and Lowering Costs Act Preserve the United States Preventive Services Task Force H.R.1197/S.1562, PREEMIE Reauthorization Act S.2621, P…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL COUNCIL OF JEWISH WOMEN · lobbying firm or registrant: NATIONAL COUNCIL OF JEWISH WOMEN
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$10,000
Spent on own lobbying
…pport the Medicare for All Act (HR 3069/S 1506) Support the Restoring Essential Health Care Act (HR 4796/S 2524) Protecting Health Care and Lowering Costs Act (HR 4849/S 2556) Support Veteran Families Health Services Act (S 2534) Oppose the Do No Harm in Medicaid Act (HR 498) Supported extension of the Affordable Care Act Pre…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
SERVICE EMPLOYEES INTERNATIONAL UNION CTW-CLC · lobbying firm or registrant: SERVICE EMPLOYEES INTERNATIONAL UNION CTW-CLC
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Budget/Appropriations
$310,000
Spent on own lobbying
…Senate in support of legislation to extend ACA Tax Credits after discharge petition. (i.e., H. Rees 780, H.R. 5145, H.R. 247, S. 46) and repeal cuts in H.R. 1 (H.R. 4849,, S. 2556). Meeting with House Budget Committee staff, Leader Jeffries office, Sen. Schumer Office, Senate HELP staff, Ways and Means staff, Energy and Commerc…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL COMMITTEE TO PRESERVE SOCIAL SECURITY AND MEDICARE · lobbying firm or registrant: NATIONAL COMMITTEE TO PRESERVE SOCIAL SECURITY AND MEDICARE
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Medicare/Medicaid
$190,000
Spent on own lobbying
…e ACA‑regulated small‑group and individual markets with higher premiums. Medicaid and Health Insurance. Protecting Health Care and Lowering Costs Act (S. 2556, H.R. 4849): Proposals to restore massive funding cuts to Medicaid that were included in the 2025 budget reconciliation law, and to make permanent ACA enhanced premium ta…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION · lobbying firm or registrant: AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Medicare/Medicaid
$290,000
Spent on own lobbying
…nd Fair Pay Act (H.R. 4559) Medicare Patient Choice Act (H.R. 4204) Stopping Fraudulent Payments Act (H.R. 8464) Protecting Health Care and Lowering Costs Act (H.R. 4849/S. 2556) Health Care Fraud Prevention and Enforcement Act (S. 5326) H.R.6500, the Continuing Appropriations and Extensions Act, 2027 Various issues related to…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
HADASSAH, THE WOMEN'S ZIONIST ORGANIZATION OF AMERICA, INC. · lobbying firm or registrant: HADASSAH, THE WOMEN'S ZIONIST ORGANIZATION OF AMERICA, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 15, 2026 · issue area: Health Issues
$60,000
Spent on own lobbying
…Services to disseminate best practices on maternal mortality prevention to hospitals, State-based professional societies, and perinatal quality collaboratives. H.R. 4849/S. 2556 - Protecting Health Care and Lowering Costs Act of 2025 All provisions This bill will repeal health-related portions of An Act to provide for reconcili…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL LEAGUE FOR NURSING · lobbying firm or registrant: MASON CONSULTING, LLC
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 22, 2026 · issue area: Medicare/Medicaid
$29,067
Paid to lobbying firm
…ers Act H.R. 2586, Reentry Act of 2025 H.R. 4619, Medicare Mental Health Inpatient Equity Act of 2025 H.R. 4773/S. 3350, ACO Assignment Improvement Act of 2025 H.R. 4849/S. 2556, Protecting Health Care and Lowering Costs Act H.R. 5081/S. 2709, Telehealth Modernization Act H.R. 5199, Modernizing Rural Physician Assistant and Nur…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL ASSOCIATION OF PEDIATRIC NURSE PRACTITIONERS · lobbying firm or registrant: MASON CONSULTING, LLC
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 22, 2026 · issue area: Medicare/Medicaid
$24,000
Paid to lobbying firm
…684, Save Americas Rural Hospitals Act H.R. 4619, Medicare Mental Health Inpatient Equity Act of 2025 H.R. 4773/S. 3350, ACO Assignment Improvement Act of 2025 H.R. 4849/S. 2556, Protecting Health Care and Lowering Costs Act H.R. 5081/S. 2709, Telehealth Modernization Act H.R. 5199, Modernizing Rural Physician Assistant and Nur…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
COMMUNICATIONS WORKERS OF AMERICA · lobbying firm or registrant: COMMUNICATIONS WORKERS OF AMERICA
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 21, 2026 · issue area: Health Issues
$431,000
Spent on own lobbying
…loss including prescription hearing aids and provide preventive and procedural dental care to all Medicare recipients to cover cleanings, x-rays and fillings. H.R. 4849/S. 2556, the Protecting Health Care and Lowering Costs Act would reverse the cuts to both Medicaid and the Affordable Care Act that resulted from the passage o…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL COUNCIL OF JEWISH WOMEN · lobbying firm or registrant: NATIONAL COUNCIL OF JEWISH WOMEN
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Health Issues
$10,000
Spent on own lobbying
…pport the Medicare for All Act (HR 3069/S 1506) Support the Restoring Essential Health Care Act (HR 4796/S 2524) Protecting Health Care and Lowering Costs Act (HR 4849/S 2556) Support Veteran Families Health Services Act (S 2534) Oppose the Do No Harm in Medicaid Act (HR 498) Supported extension of the Affordable Care Act Pre…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN FEDERATION OF TEACHERS · lobbying firm or registrant: AMERICAN FEDERATION OF TEACHERS
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Health Issues
$410,000
Spent on own lobbying
…Maternal Deaths Reauthorization Act Repeal healthcare provisions of H.R.1, One Big Beautiful Bill Act H.R.5557, Mental Health Services for Students Act S.2556/H.R.4849, Protecting Health Care and Lowering Costs Act Preserve the United States Preventive Services Task Force H.R.1197/S.1562, PREEMIE Reauthorization Act S.2621, P…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
NATIONAL COMMITTEE TO PRESERVE SOCIAL SECURITY AND MEDICARE · lobbying firm or registrant: NATIONAL COMMITTEE TO PRESERVE SOCIAL SECURITY AND MEDICARE
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Medicare/Medicaid
$210,000
Spent on own lobbying
…e ACA‑regulated small‑group and individual markets with higher premiums. Medicaid and Health Insurance. Protecting Health Care and Lowering Costs Act (S. 2556, H.R. 4849): Proposals to restore massive funding cuts to Medicaid that were included in the 2025 budget reconciliation law, and to make permanent ACA enhanced premium ta…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
HADASSAH, THE WOMEN'S ZIONIST ORGANIZATION OF AMERICA, INC. · lobbying firm or registrant: HADASSAH, THE WOMEN'S ZIONIST ORGANIZATION OF AMERICA, INC.
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Health Issues
$60,000
Spent on own lobbying
…Services to disseminate best practices on maternal mortality prevention to hospitals, State-based professional societies, and perinatal quality collaboratives. H.R. 4849/S. 2556 - Protecting Health Care and Lowering Costs Act of 2025 All provisions This bill will repeal health-related portions of An Act to provide for reconcili…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
SERVICE EMPLOYEES INTERNATIONAL UNION CTW-CLC · lobbying firm or registrant: SERVICE EMPLOYEES INTERNATIONAL UNION CTW-CLC
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Budget/Appropriations
$300,000
Spent on own lobbying
…the House and Senate in support of legislation to extend ACA Tax Credits after discharge petition (i.e., H.R. 780, 5145, 247; S. 46) and repeal cuts in H.R. 1 (H.R. 4849, S. 2556). Meeting with House Budget Committee staff, Leader Jeffries office, Sen. Schumer Office, Senate HELP staff, Ways and Means staff, Energy and Commerce…
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
P STREET PROJECT, INC. · lobbying firm or registrant: P STREET PROJECT, INC.
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 17, 2026 · issue area: Health Issues
$10,000
Spent on own lobbying
…e for the People Act (H.R. 7854). Lobbied in support of reforms to Medicare Advantage. Lobbied in support of the Protecting Health Care and Lowering Costs Act (H.R. 4849) and extending Affordable Care Act subsidies, including S. 3385.
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
ECONOMIC SECURITY PROJECT ACTION, INC. AND ITS AFFILIATES · lobbying firm or registrant: ECONOMIC SECURITY PROJECT ACTION, INC. AND ITS AFFILIATES
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 16, 2026 · issue area: Health Issues
$150,000
Spent on own lobbying
…ct - Provide healthcare coverage for all under a single payer system H.R.3911 and S.2032 - Choose Medicare Act - Provide Medicare option for universal coverage HR 4849/S.2556 - Protecting Healthcare and Lowering Costs Act of 2025 (Rep. Gray/Sen. Schumer) -Support to Repeal healthcare title of HR. 1 and permanently extend ACA…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
VALLEY CHILDREN'S HEALTHCARE · lobbying firm or registrant: BROWNSTEIN HYATT FARBER SCHRECK, LLP
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 15, 2026 · issue area: Health Issues
$30,000
Paid to lobbying firm
…ildren's mental health Medicaid coverage and reimbursement issues Pediatric workforce funding FEMA Funding Delays H.R. 2106 The Expanding Medical Education Act H.R. 4849 Protecting Health Care and Lowering Costs Act of 2025
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION · lobbying firm or registrant: AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 15, 2026 · issue area: Medicare/Medicaid
$280,000
Spent on own lobbying
…nd Fair Pay Act (H.R. 4559) Medicare Patient Choice Act (H.R. 4204) Stopping Fraudulent Payments Act (H.R. 8464) Protecting Health Care and Lowering Costs Act (H.R. 4849/S. 2556) Various issues related to CMS Actions surrounding: Audits of medical records and claims for Part A and B services Procedure code development and valua…
Congress inferred from the report year; bill number and the title cited with it match Congress.gov records, and the bill predates the report. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
SERVICE EMPLOYEES INTERNATIONAL UNION CTW-CLC · lobbying firm or registrant: SERVICE EMPLOYEES INTERNATIONAL UNION CTW-CLC
2025 Q4 report (Oct 1, 2025 – Dec 31, 2025) · amended · posted Jul 9, 2026 · issue area: Budget/Appropriations
$255,000
Spent on own lobbying
…bers of Congress in both the House and Senate in support of legislation to extend ACA Tax Credits (i.e., H.R. 5145, H.R. 247, S. 46) and repeal cuts in H.R. 1 (H.R. 4849, S. 2556).
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing
SERVICE EMPLOYEES INTERNATIONAL UNION CTW-CLC · lobbying firm or registrant: SERVICE EMPLOYEES INTERNATIONAL UNION CTW-CLC
2026 Q1 report (Jan 1, 2026 – Mar 31, 2026) · amended · posted Jul 9, 2026 · issue area: Budget/Appropriations
$250,000
Spent on own lobbying
…bers of Congress in both the House and Senate in support of legislation to extend ACA Tax Credits (i.e., H.R. 5145, H.R. 247, S. 46) and repeal cuts in H.R. 1 (H.R. 4849, S. 2556). Also, met with Senator Warnock Health team to discuss opposition to minimum premium proposals plan for persons on ACA marketplace.
Congress inferred from the report year; bill number matches Congress.gov records and the bill predates the report; no title was cited with it. The amount is lobbying spending for every issue on this report, not this bill alone, and none of it is paid to any member of Congress. View filing