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POSITIVE Healthcare 119th Congress

H.R.1834 ACA Premium Tax Credit Extension

Extends enhanced Affordable Care Act premium tax credits for three years, keeping insurance affordable for millions (119th Congress)

View on Congress.gov

Legal & Constitutional Grounding

CBO projects 2.2M more uninsured without extension; premiums double for 22M marketplace enrollees.

26 U.S.C. § 36B — refundable premium tax credit; enhanced by ARP (P.L. 117-2) and IRA (P.L. 117-169)
  • CBO: 2.2M more uninsured without extension
  • KFF: premiums increase 114% for 22M enrollees

Bill activity

Introduced Mar 4, 2025 by James P. McGovern (D-MA). Passed the House Jan 8, 2026, 230-196.

  • Reached the House floor under H.Res.780, a special rule, after the House agreed on Jan 7, 2026, 221-205, to a motion to discharge the Rules Committee from it (discharge petition No. 119-10).
Rep. Pat Ryan (D-NY-18) is not listed among the cosponsors of this bill. Rep. Pat Ryan (D-NY-18) voted yea on the House roll call counted in grades (roll no. 11, Jan 8, 2026).
  1. IntroducedMar 4, 2025
  2. Passed HouseJan 8, 2026
  3. Passed Senate 
  4. To President 
  5. Became Law 

Latest action Feb 10, 2026: Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 319.

Sponsor James P. McGovern (D-MA). No cosponsors

Activity log

Source: Congress.gov actions
  1. Introduced in House
  2. Referred to the House Committee on Armed Services, and in addition to the Committees on Natural Resources, House Administration, Transportation and Infrastructure, Agriculture, Science, Space, and Technology, Education and Workforce,...
  3. Referred to 2 subcommitteesHouse
    • Subcommittee on Transportation and Maritime Security
    • Subcommittee on Economic Development, Public Buildings, and Emergency Management
  4. Referred to 2 subcommitteesHouse
    • Subcommittee on Disability Assistance and Memorial Affairs
    • Subcommittee on Economic Opportunity
  5. H.Res.780 (the special rule for this bill): Motion to Discharge Committee filed by Mr. Jeffries. Petition No: 119-10.House
  6. H.Res.780 (the special rule for this bill): Motion to discharge the House Committee on Rules filed by Mr. Jeffries. Assigned to the Discharge Calendar, Calendar No. 4.
  7. House vote: Motion to discharge the Rules Committee from H.Res.780 (discharge petition No. 119-10)
    Agreed to, 221-205
    Member breakdown · Official House roll call 4
  8. House floor day: vote on the rule (H.Res.780), 1 amendment, passage (7 steps)
    1. Passed/agreed to in House: On agreeing to the resolution Agreed to by the Yeas and Nays: 224 - 202 (Roll no. 10).
    2. Considered under the provisions of rule H. Res. 780.
    3. Amendment (A001) in the nature of a substitute offered by Mr. McGovern. (H.Amdt.144)
    4. On agreeing to the McGovern amendment (A001) Agreed to without objection. (H.Amdt.144)
    5. DEBATE - The House proceeded with one hour of debate on H.R. 1834.
    6. The previous question was ordered pursuant to the rule.
    7. On passage Passed by the Yeas and Nays: 230 - 196 (Roll no. 11). (text of amendment in the nature of a substitute: CR H213-217)
  9. House vote: Passage of the billCounted in grades
    Passed, 230-196
    Member breakdown · Official House roll call 11
  10. Received in the Senate.
  11. House requested return of papers pursuant to H. Res. 991
  12. Senate returned papers to the House.
  13. Received in the Senate.

Votes on this bill

3 votes: 3 recorded roll calls and 0 decided without a recorded vote, 0 of them on amendments. Votes counted in grades are marked.

Jan 7, 2026HouseMotion to discharge the Rules Committee from H.Res.780 (discharge petition No. 119-10)On motion to discharge Agreed to by the Yeas and Nays: 221 - 205 (Roll no. 4).Agreed to221-205Yea
PartyYeaNayPresentNot voting
Democratic212001
Republican920504
Independent0000
Total22120505
Official House roll call
Jan 8, 20263:31 pmHouseVote on the rule (H.Res.780)On agreeing to the resolution Agreed to by the Yeas and Nays: 224 - 202 (Roll no. 10).Agreed to224-202Yea
PartyYeaNayPresentNot voting
Democratic213000
Republican1120205
Independent0000
Total22420205
Official House roll call
Jan 8, 20265:15 pmHousePassage of the billCounted in gradesOn passage Passed by the Yeas and Nays: 230 - 196 (Roll no. 11). (text of amendment in the nature of a substitute: CR H213-217)Passed230-196Yea

Counted in grades

PartyYeaNayPresentNot voting
Democratic213000
Republican1719605
Independent0000
Total23019605
Official House roll call

Amendments

1 amendment: 1 agreed to.

Agreed to (1)

H.Amdt.144Jan 8
James P. McGovernPursuant to the provisions of H.Res. 780, the amendment in the nature of a substitute printed in the Congressional Record of November 12, 2025 is considered adopted.Without a recorded vote

Who Lobbied on This Bill

$1.6M combined quarterly activity
5 lobbying firms
5 clients represented
2025-fourth_quarter–2026-second_quarter filing period
Policy Areas Covered
Health Issues Taxation/Internal Revenue Code
Government Entities Lobbied
  • Centers For Medicare and Medicaid Services (CMS)
  • HOUSE OF REPRESENTATIVES
  • Health & Human Services, Dept of (HHS)
  • SENATE
  • Treasury, Dept of
Who Hired the Lobbyists
  • CENTER ON BUDGET AND POLICY PRIORITIES
  • PLANNED PARENTHOOD ACTION FUND INC
  • PLANNED PARENTHOOD FEDERATION OF AMERICA INC
  • AMERICAN FEDERATION OF TEACHERS
  • AMERICANS FOR TAX REFORM

Source: Senate LDA filings · Dollar figures are combined quarterly totals for all lobbying by each firm, not bill-specific spend.

ACA marketplace premium protection. Enhanced Premium Tax Credits prevent documented premium increases averaging $800/year for marketplace enrollees.