Freedom for Families Act
Download PDFSponsored by
Rep. Biggs, Andy [R-AZ-5]
ID: B001302
Bill's Journey to Becoming a Law
Track this bill's progress through the legislative process
Latest Action
Referred to the House Committee on Ways and Means.
January 3, 2025
Introduced
Committee Review
📍 Current Status
Next: The bill moves to the floor for full chamber debate and voting.
Floor Action
Passed House
Senate Review
Passed Congress
Presidential Action
Became Law
📚 How does a bill become a law?
1. Introduction: A member of Congress introduces a bill in either the House or Senate.
2. Committee Review: The bill is sent to relevant committees for study, hearings, and revisions.
3. Floor Action: If approved by committee, the bill goes to the full chamber for debate and voting.
4. Other Chamber: If passed, the bill moves to the other chamber (House or Senate) for the same process.
5. Conference: If both chambers pass different versions, a conference committee reconciles the differences.
6. Presidential Action: The President can sign the bill into law, veto it, or take no action.
7. Became Law: If signed (or if Congress overrides a veto), the bill becomes law!
Bill Summary
Another masterpiece of legislative theater, courtesy of the esteemed members of Congress. The "Freedom for Families Act" (HR 74) is a bill that reeks of desperation, a Hail Mary pass to appear compassionate while actually serving the interests of the wealthy and powerful.
**Main Purpose & Objectives:** The bill's primary objective is to allow tax-advantaged distributions from health savings accounts during family or medical leave. Sounds noble, right? Wrong. This is just a Trojan horse for more giveaways to the affluent, who can afford to stash their cash in these accounts while the rest of us struggle to make ends meet.
**Key Provisions & Changes to Existing Law:** The bill amends the Internal Revenue Code to permit tax-free distributions from health savings accounts during periods of qualified caregiving. It also eliminates the requirement for a high-deductible health plan to qualify for a health savings account, effectively expanding access to these accounts for those who don't need them.
**Affected Parties & Stakeholders:** The usual suspects will benefit from this bill: wealthy individuals and families with the means to contribute to health savings accounts. Insurance companies and financial institutions will also reap the rewards of increased business. Meanwhile, low- and middle-income Americans will continue to struggle with unaffordable healthcare costs.
**Potential Impact & Implications:** This bill is a Band-Aid on a bullet wound. It does nothing to address the systemic issues plaguing our healthcare system, such as skyrocketing costs and lack of access. Instead, it provides more tax breaks for the wealthy, further exacerbating income inequality. The increased contribution limits will only serve to enrich those who already have the means to save.
In short, this bill is a cynical attempt to buy votes with empty promises of "freedom" and "compassion." It's a classic case of legislative malpractice, where politicians prioritize the interests of their donors over the well-being of their constituents. As I always say, "Everybody lies," and this bill is no exception.
Diagnosis: Terminal Stupidity
Prescription: A healthy dose of skepticism and critical thinking. Unfortunately, that's not something you can find in a pill bottle or a congressional hearing room.
Related Topics
đź’° Campaign Finance Network
Rep. Biggs, Andy [R-AZ-5]
Congress 119 • 2024 Election Cycle
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Cosponsors & Their Campaign Finance
This bill has 1 cosponsors. Below are their top campaign contributors.
Rep. Burlison, Eric [R-MO-7]
ID: B001316
Top Contributors
10
Donor Network - Rep. Biggs, Andy [R-AZ-5]
Hub layout: Politicians in center, donors arranged by type in rings around them.
Showing 31 nodes and 33 connections
Total contributions: $123,100
Top Donors - Rep. Biggs, Andy [R-AZ-5]
Showing top 25 donors by contribution amount
Project 2025 Policy Matches
This bill shows semantic similarity to the following sections of the Project 2025 policy document. Higher similarity scores indicate stronger thematic connections.
Introduction
— 468 — Mandate for Leadership: The Conservative Promise and consumer choice for Medicaid recipients must go together as standard components of the safety net, especially for able-bodied recipients. Medicaid recipients, like the rest of Americans, should be given both the freedom to choose their health plans and the responsibility to contribute to their health care costs at a level that is appropriate to protect the taxpayer. l Add work requirements and match Medicaid benefits to beneficiary needs. Because Medicaid serves a broad and diverse group of individuals, it should be flexible enough to accommodate different designs for different groups. For example, CMS should launch a robust “personal option” to allow families to use Medicaid dollars to secure coverage outside of the Medicaid program. CMS should also: 1. Clarify that states have the ability to adopt work incentives for able- bodied individuals (similar to what is required in other welfare programs) and the ability to broaden the application of targeted premiums and cost sharing to higher-income enrollees. 2. Add targeted time limits or lifetime caps on benefits to disincentivize permanent dependence.34 l Allow private health insurance. Congress should allow states the option of contributing to a private insurance benefit for all members of the family in a flexible account that rewards healthy behaviors. This reform should also allow catastrophic coverage combined with an account similar to a health savings account (HSA) for the direct purchase of health care and payment of cost sharing for most of the population. l Increase flexible benefit redesign without waivers. CMS should add flexibility to eliminate obsolete mandatory and optional benefit requirements and, for able-bodied recipients, eliminate benefit mandates that exceed those in the private market. This should include flexibility to redesign eligibility, financing, and service delivery of long-term care to serve the most vulnerable and truly needy and eliminate middle-income to upper- income Medicaid recipients. l Eliminate current waiver and state plan processes. CMS should allow providers to make payment reforms without cumbersome waivers or state plan amendment processes where possible. More broadly, the federal government’s role should be oversight on broad indicators like cost effectiveness and health measures like quality, health improvement, and — 469 — Department of Health and Human Services wellness and should give the balance of responsibility for Medicaid program management to states. This reform would include adding Section 111535 waiver requirements in some cases (such as imposing work requirements for able-bodied adults) while rescinding requirements in others (such as non–health care benefits and services related to climate change). AFFORDABLE CARE ACT AND PRIVATE HEALTH INSURANCE l Remove barriers to direct primary care. Direct primary care (DPC) is an innovative health care delivery model in which doctors contract directly with patients for their care on a subscription basis regardless of how or where the care is provided. The DPC model is improving patient access, driving higher quality and lower cost, and strengthening the doctor– patient relationship. DPC has faced many challenges from government policymakers, including overly exuberant attempts at regulation and misclassification. Changes should clarify that DPC’s fixed fee for care does not constitute insurance in the context of health savings accounts.36 l Revisit the No Surprises Act on surprise medical billing. The No Surprises Act37 protected consumers against balance bills, but it also established a deeply flawed system for resolving payment disputes between insurers and providers. This government-mandated dispute resolution process has sown confusion among arbiters and regulators as judges have sought to ascertain its meaning. The No Surprises Act should scrap the dispute resolution process in favor of a truth-in-advertising approach that will protect consumers and free doctors, insurers, and arbiters from confused and conflicting standards for resolving disputes that the disputing parties can best resolve themselves.38 l Facilitate the development of shared savings and reference pricing plan options. Under traditional insurance, patients who choose lower- cost care do not benefit financially from that choice. Barriers to rewarding patients for cost-saving decisions should be removed. CMS should ensure that shared savings and reference pricing models that reward consumers are permitted. l Separate the subsidized ACA exchange market from the non- subsidized insurance market. The Affordable Care Act has made insurance more expensive and less competitive, and the ACA subsidy scheme simply masks these impacts. To make health insurance coverage more affordable for those who are without government subsidies, CMS should develop a plan to separate the non-subsidized insurance market
About These Correlations
Policy matches are calculated using semantic similarity between bill summaries and Project 2025 policy text. A score of 60% or higher indicates meaningful thematic overlap. This does not imply direct causation or intent, but highlights areas where legislation aligns with Project 2025 policy objectives.