US SB3391

Extends enhanced premium tax credits under the Affordable Care Act through December 31, 2027, with credits previously set to expire January 1, 2026

Expands eligibility for premium tax credits from households earning up to 400% of the federal poverty level to those earning up to 600% of the federal poverty level, effective for tax years beginning after December 31, 2026

Establishes a minimum $5 monthly payment requirement for enrollees, ensuring premium assistance does not cover the full cost of monthly premiums

Restricts premium tax credits and cost-sharing reductions to U.S. citizens only, eliminating eligibility for lawfully present non-citizens beginning in tax year 2026

Prohibits qualified health plans from covering abortion services, with exceptions for life endangerment of the mother or pregnancies resulting from rape or incest