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Health Insurance Affordability: Removing Income Caps and Boosting Subsidies.

This Act significantly increases the availability and amount of health insurance subsidies under the ACA by eliminating the income cap for premium tax credits. Subsidies will now be calculated based on the cost of a more comprehensive "Gold" plan, resulting in greater financial assistance for policyholders. Eligibility for reduced out-of-pocket costs (deductibles, copays) is also expanded for lower-income individuals.
Key points
The income limit (400% of the poverty line) for receiving premium tax credits is removed, allowing higher earners to qualify if premiums are high relative to income.
Subsidies are increased by basing calculations on the cost of a "Gold" plan (better coverage) instead of a "Silver" plan.
Eligibility thresholds for reduced cost-sharing (lower deductibles and copays) are raised, benefiting individuals up to 400% of the poverty line.
The maximum amount of subsidy repayment (recapture) is capped at higher income levels (up to 800% of the poverty line).
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Additional Information
Print number: 118_S_8
Sponsor: Sen. Shaheen, Jeanne [D-NH]
Process start date: 2023-01-23
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Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

Improving Health Insurance Affordability Act of 2023

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 118_S_8.

Which chamber initiated this legislation?

This legislation was initiated in the Senate.

When did the legislative process begin?

The process officially started on 2023-01-23.

What are the main provisions?

Key points include:

  • The income limit (400% of the poverty line) for receiving premium tax credits is removed, allowing higher earners to qualify if premiums are high relative to income.
  • Subsidies are increased by basing calculations on the cost of a "Gold" plan (better coverage) instead of a "Silver" plan.
  • Eligibility thresholds for reduced cost-sharing (lower deductibles and copays) are raised, benefiting individuals up to 400% of the poverty line.
  • The maximum amount of subsidy repayment (recapture) is capped at higher income levels (up to 800% of the poverty line).
What is the specific legal status?

The current status is Expired.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Sen. Shaheen, Jeanne [D-NH].

What is the latest detailed status?

The latest detailed status is: Introduced in Senate

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-30.

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