H.R. 369House117th Congress (2021-2023)In Committee

Health Care Affordability Act of 2021

Introduced January 19, 2021

AI-Generated Summary

Updated February 7, 2026 at 9:24 PM UTC

The Health Care Affordability Act of 2021 amends the Internal Revenue Code to lower health‑insurance premiums for individuals and families based on their income level. It creates a sliding‑scale premium percentage that varies from 0% for the lowest‑income households up to 8.5% for higher‑income households. The changes apply to tax years beginning after December 31, 2021 and affect anyone receiving premium tax credits for health insurance.

Key Provisions

  • Amends Section 36B(b)(3)(A) to set a tiered, linear premium percentage ranging from 0% for incomes up to 150% of the poverty line to 8.5% for incomes at 400% or more of the poverty line.
  • Removes the phrase “but does not exceed 400 percent” from Section 36B(c)(1)(A), eliminating the previous cap on the applicable percentage.
  • Specifies that the new premium percentages take effect for taxable years starting after December 31, 2021.

Legislative Activity

Stay on top of the latest movement without scrolling through every action

3 earlier actions
HouseIntro Referral Latest Action

Sponsor introductory remarks on measure. (CR H332)

February 4, 2021

View full timeline
HouseIntro Referral

Introduced in House

January 19, 2021

HouseIntro Referral

Referred to the House Committee on Ways and Means.

January 19, 2021

HouseCommittee

Referred to the Subcommittee on Health.

January 21, 2021

HouseIntro Referral

Sponsor introductory remarks on measure. (CR H332)

February 4, 2021

Floor Debate

1 member

What members said about H.R. 369 on the floor

1 Democrat
Lauren Underwood
Rep. Lauren UnderwoodD-IL-14 · Feb 4, 2021

Mr. Speaker, I rise today as my home State of Illinois approaches the grave milestone of 20,000 COVID-19 deaths. I am thinking of the families of each of our neighbors we have lost, and I am also…

Bill Text

Latest available legislative text

Reading Mode
Latest
Introduced in HouseIssued January 19, 2021

I

117th CONGRESS

1st Session

H. R. 369

IN THE HOUSE OF REPRESENTATIVES

January 19, 2021

Ms. Underwood (for herself, Mr. O'Halleran, Mr. Gomez, Ms. Clarke of New York, Ms. Sewell, Mrs. McBath, Ms. McCollum, Ms. Barragán, Mr. Lawson of Florida, Ms. Porter, Mr. Payne, Mr. Ryan, Ms. DeLauro, Mr. Deutch, and Ms. Scanlon) introduced the following bill; which was referred to the Committee on Ways and Means

A BILL

To amend the Internal Revenue Code of 1986 to improve affordability and reduce premium costs of health insurance for consumers.

1.

Short title

This Act may be cited as the Health Care Affordability Act of 2021.

2.

Improve affordability and reduce premium costs of health insurance for consumers

(a)

In general

Section 36B(b)(3)(A) 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:

In the case of household
income (expressed as
a percent of poverty line)
within the following income tier:
The initial
premium
percentage is—
The final
premium
percentage is—
Up to 150.0 percent0.00.0
150.0 percent up to 200.0 percent0.03.0
200.0 percent up to 250.0 percent3.04.0
250.0 percent up to 300.0 percent4.06.0
300.0 percent up to 400.0 percent6.08.5
400.0 percent and higher8.58.5

.

(b)

Conforming amendment

Section 36B(c)(1)(A) of the Internal Revenue Code of 1986 is amended by striking but does not exceed 400 percent.

(c)

Effective date

The amendments made by this section shall apply to taxable years beginning after December 31, 2021.