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H.R. 10692: Restoring Essential Plan Coverage Act

This bill would change parts of federal health coverage law to expand access to subsidized coverage for some people who are lawfully present in the United States.

What the bill would do

  • Restore premium tax credit eligibility for certain lawfully present immigrants. The bill would repeal a prior change made by Public Law 119-21 and restore the previous rules for premium tax credits in some cases.

  • Help some low-income lawfully present immigrants who cannot get Medicaid because of immigration status. Under the bill, if a taxpayer’s household income is at or below 100% of the federal poverty line, and the person is lawfully present but ineligible for Medicaid due to alien status, they would be treated as if their income were at 100% of the poverty line for purposes of the Affordable Care Act premium tax credit. In practical terms, this would make them eligible for the credit when they otherwise might not be.

  • Give states more flexibility for the Basic Health Program. The bill would let states choose a higher income limit for Basic Health Program eligibility, above the current 200% of the poverty line, up to a maximum of 250% of the poverty line. States would not be required to raise the limit; it would be optional.

When the changes would take effect

  • The restored premium tax credit rules for certain lawfully present individuals would apply to taxable years beginning after December 31, 2025.

  • The Basic Health Program income-limit change would apply to plan years beginning on or after January 1, 2027.

Relevant Companies

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This is an AI-generated summary of the bill text. There may be mistakes.

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Sponsors

19 bill sponsors

Actions

2 actions

Date Action
Oct. 01, 2026 Introduced in House
Oct. 01, 2026 Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, 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.

Corporate Lobbying

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Potentially Relevant Congressional Stock Trades

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