Ways and Means Committee, Energy and Commerce Committee
Introduced
In Committee
On Floor
Passed Chamber
Enacted
The "Capping Costs for Consumers Act of 2026" seeks to significantly enhance the affordability of health insurance plans offered through an Exchange. A primary change is the shift, effective January 1, 2028, from using silver-level health plans as the benchmark for calculating cost-sharing reductions and premium tax credits to using more generous gold-level plans . This adjustment means that eligible individuals will receive greater financial assistance to reduce their out-of-pocket healthcare costs and lower their monthly premiums. Specifically, the bill expands income eligibility for enhanced cost-sharing reductions, increasing the plan's share of costs for individuals with household incomes up to 400% of the federal poverty line. For instance, those between 150% and 300% FPL will see the plan's share increase to 87%, and those between 300% and 400% FPL will receive an 85% plan share. The legislation also ensures dedicated funding for these expanded cost-sharing reductions, aiming to make healthcare more accessible and affordable for a broader range of consumers.
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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 Energy and Commerce, and in addition to the Committee on Ways and Means, 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.
Health
Capping Costs for Consumers Act of 2026
USA119th CongressHR-7164| House
| Updated: 1/20/2026
The "Capping Costs for Consumers Act of 2026" seeks to significantly enhance the affordability of health insurance plans offered through an Exchange. A primary change is the shift, effective January 1, 2028, from using silver-level health plans as the benchmark for calculating cost-sharing reductions and premium tax credits to using more generous gold-level plans . This adjustment means that eligible individuals will receive greater financial assistance to reduce their out-of-pocket healthcare costs and lower their monthly premiums. Specifically, the bill expands income eligibility for enhanced cost-sharing reductions, increasing the plan's share of costs for individuals with household incomes up to 400% of the federal poverty line. For instance, those between 150% and 300% FPL will see the plan's share increase to 87%, and those between 300% and 400% FPL will receive an 85% plan share. The legislation also ensures dedicated funding for these expanded cost-sharing reductions, aiming to make healthcare more accessible and affordable for a broader range of consumers.
Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, 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 Energy and Commerce, and in addition to the Committee on Ways and Means, 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.