119th Congress · introduced in the Senate · Jul 30, 2025
Protecting Health Care and Lowering Costs Act
Official title from Congress.gov
Latest action (Jul 30, 2025): Read twice and referred to the Committee on Finance. (text: CR S4908)
View on Congress.govPolicy area: Taxation
Congressional Research Service summary, version: Introduced in Senate (Jul 30, 2025)
Protecting Health Care and Lowering Costs Act
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
Show the full summary (3 more paragraphs)Includes 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.
Read twice and referred to the Committee on Finance. (text: CR S4908)
Introduced in Senate
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 20, 2026.
86 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
…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 Nurse Pract…
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
…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 Nurse Pract…
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
SOUTHERN POVERTY LAW CENTER, INC. · lobbying firm or registrant: SOUTHERN POVERTY LAW CENTER, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 21, 2026 · issue area: Civil Rights/Civil Liberties
$1,700,000
Spent on own lobbying
…topics and legislation: Endorse H.R. 8503 - Save SNAP Act of 2026 H.R. 8504 - Rural Health Resilience Act of 2026 H.R. 9581 - Fresh Bucks for Fresh Produce Act S. 2556 - Protecting Health Care and Lowering Costs Act H.R. 6088 / S. 3281 - Restoring Food Security for American Families and Farmers Act of 2025 Oppose S. 1 - Budge…
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
SOUTHERN POVERTY LAW CENTER, INC. · lobbying firm or registrant: SOUTHERN POVERTY LAW CENTER, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 21, 2026 · issue area: Law Enforcement/Crime/Criminal Justice
$1,700,000
Spent on own lobbying
…topics and legislation: Endorse H.R. 8503 - Save SNAP Act of 2026 H.R. 8504 - Rural Health Resilience Act of 2026 H.R. 9581 - Fresh Bucks for Fresh Produce Act S. 2556 - Protecting Health Care and Lowering Costs Act H.R. 6088 / S. 3281 - Restoring Food Security for American Families and Farmers Act of 2025 Oppose S. 1 - Budge…
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
SOUTHERN POVERTY LAW CENTER, INC. · lobbying firm or registrant: SOUTHERN POVERTY LAW CENTER, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 21, 2026 · issue area: Immigration
$1,700,000
Spent on own lobbying
…topics and legislation: Endorse H.R. 8503 - Save SNAP Act of 2026 H.R. 8504 - Rural Health Resilience Act of 2026 H.R. 9581 - Fresh Bucks for Fresh Produce Act S. 2556 - Protecting Health Care and Lowering Costs Act H.R. 6088 / S. 3281 - Restoring Food Security for American Families and Farmers Act of 2025 Oppose S. 1 - Budge…
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
SOUTHERN POVERTY LAW CENTER, INC. · lobbying firm or registrant: SOUTHERN POVERTY LAW CENTER, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 21, 2026 · issue area: Budget/Appropriations
$1,700,000
Spent on own lobbying
…topics and legislation: Endorse H.R. 8503 - Save SNAP Act of 2026 H.R. 8504 - Rural Health Resilience Act of 2026 H.R. 9581 - Fresh Bucks for Fresh Produce Act S. 2556 - Protecting Health Care and Lowering Costs Act H.R. 6088 / S. 3281 - Restoring Food Security for American Families and Farmers Act of 2025 Oppose S. 1 - Budge…
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
SOUTHERN POVERTY LAW CENTER, INC. · lobbying firm or registrant: SOUTHERN POVERTY LAW CENTER, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 21, 2026 · issue area: Accounting
$1,700,000
Spent on own lobbying
…topics and legislation: Endorse H.R. 8503 - Save SNAP Act of 2026 H.R. 8504 - Rural Health Resilience Act of 2026 H.R. 9581 - Fresh Bucks for Fresh Produce Act S. 2556 - Protecting Health Care and Lowering Costs Act H.R. 6088 / S. 3281 - Restoring Food Security for American Families and Farmers Act of 2025 Oppose S. 1 - Budge…
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
…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
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) · lobbying firm or registrant: AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Medicare/Medicaid
$3,010,000
Spent on own lobbying
…eligibility for children in Medicaid/CHIP S. 2497 - Fair Billing Act - Sen. Hassan, Maggie - Medicare site-neutral transparency and identification requirements S. 2556 - Protecting Healthcare and Lowering Costs Act - Sen. Schumer, Charles - repeal of Medicaid provisions in the One Big Beautiful Bill Act S. 2793 - Ensuring Acc…
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
…t; 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. 2763/S. 13…
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 extending 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
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
…venting 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…
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 ALLIANCE ON MENTAL ILLNESS · lobbying firm or registrant: NATIONAL ALLIANCE ON MENTAL ILLNESS
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$10,000
Spent on own lobbying
…tal Health For Latinos Act: Directs the development of a culturally tailored mental health outreach and education strategy for Hispanic and Latino Populations. S. 2556: Protecting Health Care and Lowering Costs Act: repeals recent health law changes, permanently expands ACA Tax Credits beyond 400% FPL, and sets a new sliding…
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
VIZIENT INC · lobbying firm or registrant: VIZIENT, INC.
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 20, 2026 · issue area: Health Issues
$300,000
Spent on own lobbying
…ge of the Protect Medicaid and Rural Hospitals Act (S.2279) . Continued monitoring and encouraged passage of the Protecting Health Care and Lowering Costs Act (S.2556). Continued monitoring and encouraged passage of the Resident Physician Shortage Reduction Act of 2025 (S.2439/H.R.3890/H.R.4731). Continued monitoring and enc…
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
…pport 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 Commerce Staff, a…
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
…ees in the 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…
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
…y 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 CMS Acti…
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 HEART ASSOCIATION · lobbying firm or registrant: AMERICAN HEART ASSOCIATION
2026 Q3 report (Jul 1, 2026 – Sep 30, 2026) · posted Oct 19, 2026 · issue area: Health Issues
$80,000
Spent on own lobbying
…87/H.R.4425) Living Donor Protection Act (H.R. 4583/H.R. 4582/S.1552) FAMILY Act (H.R. 5390/S. 2823) Protecting Healthcare and Lowering Costs Act H.R. (S. 4849/S.2556) Providing for consideration of the bill (H.R. 1834) to advance policy priorities that will break the gridlock (H.Res. 780) Breaking the Gridlock Act (H.R. 183…
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
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
…o 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 reconciliation pu…
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 HEART ASSOCIATION · lobbying firm or registrant: AMERICAN HEART ASSOCIATION
2025 Q3 report (Jul 1, 2025 – Sep 30, 2025) · amended · posted Oct 2, 2026 · issue area: Health Issues
$410,000
Spent on own lobbying
…Preventing Maternal Deaths Reauthorization Act (H.R. 1909/S. 2621) Food Farmacy Act of 2025 (H.R. 5412) Protecting Healthcare and Lowering Costs Act H.R. (4849/S.2556) Marketplace Integrity Rule CRAS.J. Res.84
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 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
…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 Nurse Pract…
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
…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 Nurse Pract…
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
…uding 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 of H.R. 1…
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 HEART ASSOCIATION · lobbying firm or registrant: AMERICAN HEART ASSOCIATION
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 21, 2026 · issue area: Health Issues
$400,000
Spent on own lobbying
…87/H.R.4425) Living Donor Protection Act (H.R. 4583/H.R. 4582/S.1552) FAMILY Act (H.R. 5390/S. 2823) Protecting Healthcare and Lowering Costs Act H.R. (S. 4849/S.2556) Providing for consideration of the bill (H.R. 1834) to advance policy priorities that will break the gridlock (H.Res. 780) Breaking the Gridlock Act (H.R. 183…
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
AMERICA'S HEALTH INSURANCE PLANS INC (AHIP) · lobbying firm or registrant: AMERICA'S HEALTH INSURANCE PLANS, INC. (AHIP)
2026 Q2 report (Apr 1, 2026 – Jun 30, 2026) · posted Jul 20, 2026 · issue area: Medicare/Medicaid
$3,010,000
Spent on own lobbying
…eligibility for children in Medicaid/CHIP S. 2497 - Fair Billing Act - Sen. Hassan, Maggie - Medicare site-neutral transparency and identification requirements S. 2556 - Protecting Healthcare and Lowering Costs Act - Sen. Schumer, Charles - repeal of Medicaid provisions in the One Big Beautiful Bill Act S. 2793 - Ensuring Acc…
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