H.R. 6703 - Lower Health Care Premiums for All Americans Act
H.R. 6703 - Lower Health Care Premiums for All Americans Act
Hearing Information
Meeting Information
Tuesday, December 16, 2025 - 2:00pm H-313, The Capitol View Announcement »
Video
Bill Text
(as introduced)
Hearing Documents
Rule PDF
H. Res. 953 PDF
H. Rept. 119-411 PDF
Rule Information
COMMITTEE ACTION:
REPORTED BY A RECORD VOTE of 6-4 on December, 16, 2025.
MANAGERS: Griffith/McGovern
1. Closed rule for H.R. 6703.
2. Waives all points of order against consideration of the bill.
3. Provides that the bill shall be considered as read.
4. Waives all points of order against provisions in the bill.
5. Provides one hour of general debate equally divided among and controlled by the respective chairs and ranking minority members of the Committees on Education and Workforce, Energy and Commerce, and Ways and Means, or their respective designees.
6. Provides one motion to recommit.
7. Closed rule for H.R. 498.
8. Waives all points of order against consideration of the bill.
9. Provides that the bill shall be considered as read.
10. Waives all points of order against provisions in the bill.
11. Provides one hour of general debate equally divided and controlled by the chair and ranking minority member of the Committee on Energy and Commerce or their respective designees.
12. Provides one motion to recommit.
13. Structured rule for H.R. 3492.
14. Waives all points of order against consideration of the bill.
15. Provides that the amendment in the nature of a substitute recommended by the Committee on the Judiciary now printed in the bill shall be considered as adopted and the bill, as amended, shall be considered as read.
16. Waives all points of order against provisions in the bill, as amended.
17. Provides one hour of general debate equally divided and controlled by the chair and ranking minority member of the Committee on the Judiciary or their respective designees.
18. Makes in order only the further amendment printed in the Rules Committee report. Each amendment may be offered only in the order printed in the report, may be offered only by a Member designated in the report, shall be considered as read, shall be debatable for the time specified in the report equally divided and controlled by the proponent and an opponent, shall not be subject to amendment, and shall not be subject to a demand for division of the question.
19. Waives all points of order against the amendment printed in the Rules Committee report.
20. Provides one motion to recommit.
21. Provides that during consideration of H.R. 4776, pursuant to House Resolution 951, the further amendment specified in section 5 of this resolution shall be considered as adopted.
Amendments (click each header to sort table ▲▼ by that column)
| # | Version # | Sponsor(s) | Party | Summary | Status |
|---|---|---|---|---|---|
| 1 | Version 1 | Schmidt (KS) | Republican | Extends the temporary grandfathering period for certain state directed payment limitations in H.R. 1 from 180 days to 200 days from the date of enactment. | Submitted |
| 2 | Version 1 | Davidson (OH) | Republican | Creates a select committee to develop recommendations for fixing the American health care system. | Submitted |
| 3 | Version 1 | Sykes (OH), Friedman (CA), Cohen (TN), Peters (CA), Johnson (GA), Schakowsky (IL), Morrison (MN) | Democrat | Strikes all of Section 202 to remove the provision on cost sharing reduction payments and reproductive healthcare coverage restrictions. | Submitted |
| 4 | Version 2 | Rose (TN) | Republican | Revised Establishes an independent Office of the Inspector General for Pharmacy Benefit Managers within the Department of Health and Human Services to oversee, audit, and investigate PBM activities. | Revised |
| 5 | Version 1 | Lawler (NY) | Republican | Amends the Working Families Tax Cut legislation to grandfather in more SDPs. Specifically, extends the grandfathering period from 180 days to 275 days. | Submitted |
| 6 | Version 2 | Barragán (CA) | Democrat | Revised Extends the Children’s Health Insurance Program permanently. | Revised |
| 7 | Version 1 | Spartz (IN) | Republican | Eliminates certain physician-owned hospital restrictions for services furnished in rural areas. | Submitted |
| 8 | Version 1 | Schmidt (KS) | Republican | Allows off-campus emergency departments located in rural areas to seek Rural Emergency Hospital designation. | Submitted |
| 9 | Version 1 | Gosar (AZ) | Republican | Withdrawn Requires enforcement of restoring the application of antitrust laws to the business of health insurance. | Withdrawn |
| 10 | Version 1 | Spartz (IN) | Republican | Strikes Section 101 and inserts a section expanding Associated Health Plan (AHP) availability to any group, not just small employers, to create maximally large pools of consumers. | Submitted |
| 11 | Version 1 | Moylan (GU), Plaskett (VI) | Bi-Partisan | Ensures residents of U.S. territories receive equal treatment under Medicare Part D by removing statutory limitations that restrict premium and cost-sharing subsidies, aligning territorial benefits with those available to states. | Submitted |
| 12 | Version 1 | Cloud (TX) | Republican | Prohibits Premium Tax Credits from being used to purchase any health insurance plans that cover abortions. | Submitted |
| 13 | Version 2 | Fitzpatrick (PA), Kiggans (VA), Lawler (NY), Valadao (CA) | Republican | Revised Extends the Enhanced Premium Tax Credits for two years with reforms and guardrails. | Revised |
| 14 | Version 1 | Cloud (TX) | Republican | Allows a health insurance enrollee to receive care from the provider of their choice by having health insurance issuers reimburse out-of-network providers at the same rate as in-network providers. A health insurance issuer shall also not prevent an in-network provider from accepting an out-of-network patient. | Submitted |
| 15 | Version 1 | Cloud (TX) | Republican | Allows anyone the option to purchase a catastrophic health insurance plan. | Submitted |
| 16 | Version 2 | Gosar (AZ) | Republican | Revised Requires enforcement of restoring the application of antitrust laws to the business of health insurance. | Revised |
| 17 | Version 2 | Kiggans (VA), Fitzpatrick (PA), Lawler (NY), Valadao (CA), Kean (NJ), Gimenez (FL) | Republican | Revised Extends the ACA tax credit for one year with certain guardrails and program integrity provisions. | Revised |
| 18 | Version 1 | Mace (SC) | Republican | Requires hospitals, as a condition of participating in Medicare, to ask the citizenship status of patients during the intake process and annually report to the Secretary of Health and Human Services the number of patients who were not citizens or nationals of the United States and the cost of uncompensated care provided to such patients. | Submitted |
| 19 | Version 1 | Van Duyne (TX) | Republican | Strikes Section 101 and amends ERISA to allow qualifying groups or associations of employers, including self-employed individuals, to be treated as a single employer for purposes of offering group health plans. Establishes eligibility, governance, rating, and nondiscrimination rules applicable to such plans. | Submitted |
| 20 | Version 1 | Van Duyne (TX) | Republican | Directs the Small Business Administration to disseminate and publicize information on Individual Coverage Health Reimbursement Arrangements (ICHRAs) to small business concerns through SBA development centers, district offices, and agency outreach materials. Defines relevant terms for purposes of the amendment. Identical to H.R. 5498 | Submitted |
| 21 | Version 1 | Cohen (TN) | Democrat | Strikes Section 202 to remove restrictions on coverage of reproductive health care. | Submitted |
| 22 | Version 1 | Chu (CA), Friedman (CA) | Democrat | Repeals Section 71113 of Public Law 119–21, eliminating the Medicaid funding restriction on prohibited entities enacted under the One Big Beautiful Bill (OBBB). | Submitted |
| 23 | Version 1 | LaLota (NY) | Republican | Revises the Internal Revenue Code to establish a temporary above-the-line deduction for health insurance exchange premiums for eligible individuals and households. | Submitted |
| 24 | Version 1 | LaLota (NY) | Republican | Amends the Internal Revenue Code and the Affordable Care Act to establish a temporary deduction for health insurance exchange premiums, strengthen guardrails to prevent exchange fraud, extend the 2026 open enrollment period, and increase transparency and accountability for pharmacy benefit managers. | Submitted |
| 25 | Version 1 | Spartz (IN) | Republican | Strikes page 2, line 22, through page 4, line 15. | Submitted |
| 26 | Version 2 | Kiley (CA), Kean (NJ), Kiggans (VA) | Republican | Withdrawn Extends the Enhanced Premium Tax Credit for two years. | Withdrawn |
Committee Votes
Rules Committee Record Vote No. 223
Motion by Mr. McGovern to make in order amendments #13, 17, 23, and 24 to H.R. 6703, offered by Representatives Kiggans, Fitzpatrick, and LaLota, as well as provide for consideration of H.R. 6074, to extend the Affordable Care Act enhanced Premium Tax Credits for three years through 2028, under a closed rule, debatable for one hour equally divided between the chair and ranking member of the Committee on Ways and Means. Defeated: 4–6
Rules Committee Record Vote No. 224
Motion by Ms. Leger Fernández to make in order amendment #3 to H.R. 6703, offered by Representative Sykes, which strikes all of Section 202 to remove the provision on cost sharing reduction payments and reproductive healthcare coverage restrictions. Defeated: 4–6
Rules Committee Record Vote No. 225
Motion by Mr. Griffith to report the rule. Adopted: 6–4