[Congressional Record Volume 172, Number 50 (Thursday, March 19, 2026)]
[Senate]
[Pages S1395-S1396]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 4686. Mr. WYDEN (for himself, Ms. Hirono, Mr. Reed, Ms. 
Alsobrooks, Mr. Lujan, Ms. Rosen, Mr. Van Hollen, and Mr. Durbin) 
submitted an amendment intended to be proposed by him to the bill S. 
1383, to establish the Veterans Advisory Committee on Equal Access, and 
for other purposes; which was ordered to lie on the table; as follows:

       In lieu of the matter proposed to be inserted, insert the 
     following:

     SECTION 1. SHORT TITLE.

       This Act may be cited as the ``Protecting Health Care and 
     Lowering Costs Act''.

     SEC. 2. REPEAL OF RECONCILIATION HEALTH PROVISIONS.

       (a) In General.--Except as provided in subsection (b), 
     subtitle B of title VII of An Act to provide for 
     reconciliation pursuant to title II of H. Con. Res. 14 
     (Public Law 119-21) is repealed and any law or regulation 
     referred to in such subtitle shall be applied as if such 
     subtitle and the amendments made by such subtitle had not 
     been enacted.
       (b) Exceptions.--
       (1) In general.--Subsection (a) shall not apply to the 
     provisions of and amendments made by sections 71202, 71306, 
     and 71401 of such Act.
       (2) Availability of funds allocated under the rural health 
     transformation program.--Section 2105(h) of the Social 
     Security Act (42 U.S.C. 1397ee(h)), as added by Public Law 
     119-21, is amended--
       (A) in paragraph (1)(B)--
       (i) in the subparagraph heading by striking ``Unexpended or 
     unobligated'' and inserting ``Availability of'';
       (ii) by striking clauses (i) through (iii) and inserting 
     the following:
       ``(i) In general.--Subject to clause (ii), funds allocated 
     to a State from amounts appropriated under subparagraph (A) 
     shall remain available until expended.''; and
       (iii) by redesignating clause (iv) as clause (ii); and
       (B) in paragraph (2)(C), by striking ``paragraph 
     (1)(B)(iv)'' and inserting ``paragraph (1)(B)(ii)''.

     SEC. 3. PERMANENT EXTENSION OF ENHANCED TAX CREDIT.

       (a) In General.--Subparagraph (A) of section 36B(c)(1) of 
     the Internal Revenue Code of 1986 is amended by striking 
     ``but does not exceed 400 percent''.
       (b) Applicable Percentages.--
       (1) In general.--Subparagraph (A) of section 36B(b)(3) of 
     the Internal Revenue Code of 1986 is amended to read as 
     follows:
       ``(A) Applicable percentage.--The applicable percentage for 
     any taxable year shall be the percentage such that the 
     applicable percentage for any taxpayer whose household income 
     is within an income tier specified in the following table 
     shall increase, on a sliding scale in a linear manner, from 
     the initial premium percentage to the final premium 
     percentage specified in such table for such income tier:


------------------------------------------------------------------------
                                                The initial   The final
 ``In the case of household income  (expressed    premium      premium
   as a percent of poverty line)  within the     percentage   percentage
            following income tier:                  is--         is--
------------------------------------------------------------------------
Up to 150 percent.............................            0            0
150 percent up to 200 percent.................            0          2.0
200 percent up to 250 percent.................          2.0          4.0
250 percent up to 300 percent.................          4.0          6.0
300 percent up to 400 percent.................          6.0          8.5

[[Page S1396]]

 
400 percent and higher........................          8.5      8.5.''.
------------------------------------------------------------------------

       (2) Conforming amendments relating to affordability of 
     coverage.--
       (A) Paragraph (1) of section 36B(c) of such Code is amended 
     by striking subparagraph (E).
       (B) Subparagraph (C) of section 36B(c)(2) of such Code is 
     amended by striking clause (iv).
       (C) Paragraph (4) of section 36B(c) of such Code is amended 
     by striking subparagraph (F).
       (c) Effective Date.--The amendments made by this section 
     shall apply to taxable years beginning after December 31, 
     2025.
                                 ______