H.R. 6512 - Putting Patients First Healthcare Freedom Act

Summary

The Putting Patients First Healthcare Freedom Act is a bill introduced in the 119th Congress to:

Key Provisions:

1. Health Freedom Waiver Program: Allows states to opt out of certain Affordable Care Act (ACA) requirements, such as the essential health benefits mandate and protections for pre-existing conditions, as long as the state maintains a high-risk insurance pool or similar program.

2. Expanding Health Savings Accounts (HSAs): Makes various changes to increase access, utility, and flexibility of HSAs, such as allowing Medicare enrollees to contribute, permitting catch-up contributions by spouses, and allowing HSAs to be used for insurance premiums.

3. Codifying Trump-Era Healthcare Reforms: Enacts several bills proposed during the Trump administration, including those related to association health plans, health reimbursement arrangements, short-term limited duration insurance, and reinsurance programs.

4. Ending Taxpayer Funding for Abortion and Gender Transition Procedures: Prohibits federal funding for abortion services and gender transition procedures.

Intent and Impact:

The bill aims to empower individuals and families with more control over their healthcare dollars and choices, while rolling back certain ACA requirements. Proponents argue this will lead to more affordable and flexible coverage options. Critics express concerns that it could undermine consumer protections and access to comprehensive care.

The legislation would primarily impact individuals purchasing health insurance, as well as health insurers, healthcare providers, and state governments. The extent of the changes would depend on how many states choose to exercise the health freedom waivers.

Timeline and Procedure:

The bill was introduced in the House on December 9, 2025 and referred to multiple committees for consideration. As an ordinary bill, it would need to pass both the House and Senate and be signed by the President to become law.