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Bipartisan Healthcare Optimization, Protection, and Extension Act

H. Res. 902 · 119th Congress · Nov 20, 2025 · Lineage

RESOLUTION

Providing for consideration of the bill (H.R. 185) to advance responsible policies.

That immediately upon adoption of this resolution, the House shall proceed to the consideration in the House of the bill (H.R. 185) to advance responsible policies. All points of order against consideration of the bill are waived. The amendment in the nature of a substitute specified in section 4 of this resolution shall be considered as adopted. The bill, as amended, shall be considered as read. All points of order against provisions in the bill, as amended, are waived. The previous question shall be considered as ordered on the bill, as amended, and on any further amendment thereto, to final passage without intervening motion except: (1) one hour of debate equally divided and controlled by the majority leader and minority leader or their respective designees; and (2) one motion to recommit.

Sec. 2

Clause 1(c) of rule XIX and clause 8 of rule XX shall not apply to the consideration of H.R. 185.

Sec. 3

The Clerk shall transmit to the Senate a message that the House has passed H.R. 185 no later than one calendar day after passage.

Sec. 4

The amendment in the nature of a substitute referred to in the first section of this resolution is as follows:
Strike all after the enacting clause and insert the following:

“1. Short title

“This Act may be cited as the “Bipartisan Healthcare Optimization, Protection, and Extension Act” or the “HOPE Act”.

“2. Extension and modification of enhanced premium tax credit

“(a) Extension and modification of rules To increase premium assistance amounts—Section 36B(b)(3)(A)(iii) of the Internal Revenue Code of 1986 is amended—

“(1) by redesignating subclauses (I) and (II) as items (aa) and (bb), respectively, and adjusting the margins accordingly,

“(2) by striking “Temporary percentages for 2021 through 2025.—In the case of” and inserting

“(3) by adding at the end the following:

“(b) Extension and modification of rule To allow credit to taxpayers whose household income exceeds 400 percent of poverty line—Section 36B(c)(1)(E) of such Code is amended—

“(1) by striking “Temporary rule for 2021 through 2025.—In the case of” and inserting

“(2) by adding at the end the following:

“(c) Effective date—The amendments made by this section shall apply to taxable years beginning after December 31, 2025.

“3. Guardrails to prevent fraud in Exchanges

“(a) Reduction of fraudulent enrollment in qualified health plans

“(1) Penalties for agents and brokers—Section 1411(h)(1) of the Patient Protection and Affordable Care Act (42 U.S.C. 18081(h)(1)) is amended—

“(A) in subparagraph (A)—

“(i) by redesignating clause (ii) as clause (iv);

“(ii) in clause (i)—

“(I) in the matter preceding subclause (I), by striking “If—” and all that follows through the “such person” in the matter following subclause (II) and inserting the following: “If any person (other than an agent or broker) fails to provide correct information under subsection (b) and such failure is attributable to negligence or disregard of any rules or regulations of the Secretary, such person”; and

“(II) in the second sentence, by striking “For purposes” and inserting the following:

“(iii) by inserting after clause (i) the following:

“(iv) in clause (iv) (as so redesignated), by inserting “or (ii)” after “clause (i)”;

“(B) in subparagraph (B)—

“(i) by inserting “including subparagraph (C),” after “law,”;

“(ii) by striking “Any person” and inserting the following:

“(iii) by adding at the end the following:

“(C) by adding at the end the following:

“(2) Consumer protections

“(A) In general—Section 1311(c) of the Patient Protection and Affordable Care Act (42 U.S.C. 18031(c)) is amended by adding at the end the following new paragraph:

“(B) Required reporting—Section 1311(c)(1) of the Patient Protection and Affordable Care Act (42 U.S.C. 18031(c)(1)) is amended—

“(i) in subparagraph (H), by striking “and” at the end;

“(ii) in subparagraph (I), by striking the period at the end and inserting “; and”; and

“(iii) by adding at the end the following:

“(3) Authority to regulate field marketing organizations and third-party marketing organizations—Section 1312(e) of the Patient Protection and Affordable Care Act (42 U.S.C. 18032(e)) is amended—

“(A) by redesignating paragraphs (1) and (2) as subclauses (I) and (II), respectively, and adjusting the margins accordingly;

“(B) in subclause (II) (as so redesignated), by striking the period at the end and inserting “; and”;

“(C) by striking the subsection designation and heading and all that follows through “brokers—” and inserting the following:

“(D) by adding at the end the following:

“(4) Transparency—Section 1312(e) of the Patient Protection and Affordable Care Act (42 U.S.C. 18032(e)), as amended by paragraph (3), is further amended by adding at the end the following new paragraphs:

“(b) Removal of deceased individuals from Exchange plans—Section 1311(c) of the Patient Protection and Affordable Care Act (42 U.S.C. 18031(c)), as amended by subsection (a), is further amended by adding at the end the following new paragraph:

“(c) Standard of proof for terminating agents and brokers—Section 1312(e) of the Patient Protection and Affordable Care Act (42 U.S.C. 18032(e)), as amended by subsection (a), is further amended by adding at the end the following new paragraph:

“(d) Requirement for Exchange To notify individuals of value of premium tax credits—Section 1412(c)(2) of the Patient Protection and Affordable Care Act (42 U.S.C. 18082(c)(2)) is amended by adding at the end the following new subparagraph:

“4. Extending annual open enrollment period for Exchanges for plan year 2026

“The Secretary of Health and Human Services shall revise section 155.410(e) of title 45, Code of Federal Regulations (or any successor regulation) to provide that the annual open enrollment period determined for plan year 2026 pursuant to section 1311(c)(6) of the Patient Protection and Affordable Care Act (42 U.S.C. 18031(c)(6)) shall begin on November 1, 2025, and end on May 15, 2026.”