December 7, 2025

In a bold move to reshape American health care, Senator Bill Cassidy (R-La.) is set to present a new proposal to GOP leadership that could dramatically alter how individuals manage their health costs. Positioned as a plan to pass the Senate's 60-vote threshold, Cassidy's initiative aims to empower citizens by funding health savings accounts (HSAs) and encouraging lower-premium insurance plans.
Speaking on "Fox News Sunday," Cassidy shared his optimism about the proposal's potential for bipartisan support. “We're working to deliver to Leader Thune and Speaker Johnson a plan, which I think could get 60 votes, which gives the American people the power, and they can choose a lower premium and an HSA,” Cassidy explained, anticipating to finalize the details via email by Sunday night.
The plan encourages those enrolled in Obamacare to opt for bronze-level plans, which offer lower premiums, coupled with enhanced HSA funding to help cover out-of-pocket expenses. However, this strategy has met with skepticism from Democrats and policy experts who argue that it does little to address the root issues of rising premiums, especially as health care subsidies are on the brink of expiration.
Despite these challenges, Cassidy, who also chairs the Senate Health, Education, Labor, and Pensions Committee, remains hopeful. He acknowledges that not all problems can be solved immediately but emphasizes the importance of extending some subsidies as a temporary measure while broader discussions continue.
As Cassidy garners interest from across the aisle, the political landscape shows signs of readiness for dialogues about health care reform. “We may disagree on the threshold... But if we can get to a framework where they give the American people a choice, they can stay with the policy they have with a $6,000 deductible or they can go to another policy with a lower premium and money in a health savings account for them to purchase that which they do, the rest is just political decisions," Cassidy told host Shannon Bream.
Amid these discussions, House Speaker Mike Johnson and other Republican leaders are strategizing over the weekend, aiming to solidify plans before the upcoming GOP conference meeting on Tuesday. While the House Majority Leader Steve Scalise has not committed to a timeline, the urgency is palpable as the year-end deadline approaches.
The house is also considering various GOP-led proposals, including bipartisan efforts for a temporary extension of subsidies, showcasing a legislative body in motion as it navigates the complex terrain of health care reform.
As the debate unfolds, President Donald Trump has expressed support for Cassidy’s HSA-focused initiative but has chosen to stay out of the granular legislative details.
With Cassidy spearheading this fresh approach, the coming weeks will be crucial in determining whether this innovative plan can indeed bridge bipartisan divides and inject new life into the ongoing health care reform discussions.