Healthy Communities Act of 2026

This bill changes the federal premium tax credit that helps people pay for health insurance bought through Affordable Care Act marketplaces. It removes the income cap of 400 percent of the poverty line and sets a new scale for how much of their income people pay for coverage, from 0 percent up to 8.5 percent. It treats low-income people in states that have not expanded Medicaid as eligible for the credit with no required premium share, and increases and extends extra federal Medicaid funding for states that newly expand. It repeals several health sections of Public Law 119-21, sets open enrollment from November 1 to January 15, and adds civil and criminal penalties, verification steps, audits, and marketing rules for insurance agents, brokers, and marketing organizations. It also requires quarterly checks to remove deceased people from marketplace plans.

Full text and official record on Congress.gov

Sponsors

• Sharice Davids Democrat sponsor
• 0 cosponsors