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The Quiet Ledger
s 3386 · 119th Congress · Senate

Health Care Freedom for Patients Act of 2025

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TQL analysis
F52
52 / 90 · methodology full_text_v3

The Health Care Freedom for Patients Act of 2025 aims to provide health savings account contributions to certain enrollees, reduce healthcare costs, and address Medicaid and CHIP funding. The bill includes provisions that restrict federal funding for certain procedures and individuals without verified citizenship. It also proposes changes to health insurance plans and Medicaid funding for states.

Structural flags
⚑ No enforcement or oversight — imposes duties but names no enforcement or oversight mechanism
⚑ Spends without a pay-for — authorizes new spending with no stated offset or pay-for
Legislative structure
Cosponsors
1 current · 1 total
Actions
8
Roll calls
1
Criterion breakdown8 criteria · max 90
Advanced Full criterion breakdown

The letter, score, and explanation above are free. The point-by-point breakdown of all eight scored criteria — with each criterion's value and how it moved the grade — is a Quiet Ledger research capability.

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Recorded vote · Senate roll call 643 · 2025-12-11
50 Yea · 47 Nay · 0 Present · 1 Not voting — Cloture Motion Rejected (51-48, 3/5 majority required)</vote_result_text> <question>On the Cloture Motion</question> <vote_title>Motion to Invoke Cloture: Motion to Proceed to S. 3386</vote_title> <majority_requirement>3/5</majority_requirement> <vote_result>Cloture Motion Rejected
R
50–1 (Yea–Nay)
D
0–44 (Yea–Nay)
I
0–2 (Yea–Nay)
Revealed positions from the official roll call — factual, not an endorsement.
Actions (8)
DateTimeAction
2025-12-08—Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 285.
2025-12-08—Introduced in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time. (Legislative Day December 4, 2025).
2025-12-08—Introduced in Senate
2025-12-09—Motion to proceed to consideration of measure withdrawn in Senate.
2025-12-09—Cloture motion on the motion to proceed to the measure presented in Senate. (CR S8567)
2025-12-09—Motion to proceed to consideration of measure made in Senate. (CR S8567)
2025-12-11—Cloture on the motion to proceed to the measure not invoked in Senate by Yea-Nay Vote. 51 - 48. Record Vote Number: 643. (CR S8654)
2025-12-11—Motion to proceed to measure considered in Senate. (CR S8643)
Provenance
Methodology
full_text_v3
Calculated
2026-09-18 16:50:08.539+00
Source version
2025-12-11
Assessments
—
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The Quiet Ledger grades legislation on its content. A bill grade is analysis of the bill — not a grade of its sponsor or of any member who voted on it.