S 46 — Health Care Affordability Act of 2025
Congress 119 · introduced 2025-01-09
Latest action: — Read twice and referred to the Committee on Finance.
Sponsors
- Hickenlooper, John W. (D, CO-S) — cosponsor
- Van Hollen, Chris (D, MD-S) — cosponsor
- Kim, Andy (D, NJ-S) — cosponsor
- Fetterman, John (D, PA-S) — cosponsor
- Booker, Cory A. (D, NJ-S) — cosponsor
- Warren, Elizabeth (D, MA-S) — cosponsor
- Wyden, Ron (D, OR-S) — cosponsor
- Cortez Masto, Catherine (D, NV-S) — cosponsor
- Kelly, Mark (D, AZ-S) — cosponsor
- Hassan, Margaret Wood (D, NH-S) — cosponsor
Lobbied by (4)
LDA filings that named this bill in their activity descriptions. The lobbying firm (registrant) is paid by the client to lobby on this and related issues.
| Filing | Period | Registrant (lobbying firm) | Client | Income | Matched |
|---|---|---|---|---|---|
| 1st Quarter - Report | 2026 first_quarter | MEHLMAN CONSULTING, INC. | ASCENSION HEALTH ALLIANCE | $80,000 | S. 46 |
| 1st Quarter - Report | 2026 first_quarter | CAMBIA HEALTH SOLUTIONS | CAMBIA HEALTH SOLUTIONS | — | S. 46 |
| 1st Quarter - Report | 2026 first_quarter | NATIONAL ALLIANCE ON MENTAL ILLNESS | NATIONAL ALLIANCE ON MENTAL ILLNESS | — | S. 46 |
| 1st Quarter - Report | 2026 first_quarter | PONTIFEX STRATEGIES LLC | SIXTEEN THIRTY FUND | $40,000 | S.46 |
Action timeline
- — Read twice and referred to the Committee on Finance.
- · 10000 — Introduced in Senate
Text versions
- Introduced in Senate · 2025-01-09 — open
Connected on the graph
Inbound (14)
| date | from | type | amount | role | source |
|---|---|---|---|---|---|
| — | Van Hollen, Chris | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Hickenlooper, John W. | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Kim, Andy | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Booker, Cory A. | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Wyden, Ron | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Fetterman, John | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Warren, Elizabeth | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Cortez Masto, Catherine | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Kelly, Mark | cosponsor_of_bill | — | cosponsor | sponsorship |
| — | Hassan, Margaret Wood | cosponsor_of_bill | — | cosponsor | sponsorship |
| 2026-01-01 | CAMBIA HEALTH SOLUTIONS | lobbies_on_bill | — | S. 46 | lobbying_bill_mention |
| 2026-01-01 | SIXTEEN THIRTY FUND | lobbies_on_bill | — | S.46 | lobbying_bill_mention |
| 2026-01-01 | NATIONAL ALLIANCE ON MENTAL ILLNESS | lobbies_on_bill | — | S. 46 | lobbying_bill_mention |
| 2026-01-01 | ASCENSION HEALTH ALLIANCE | lobbies_on_bill | — | S. 46 | lobbying_bill_mention |
Who matters
Members ranked by combined influence on this bill: role (sponsor 5 / cosponsor 1), capped speech count from the Congressional Record, and recorded-vote engagement.
| # | Member | Role | Speeches | Voted | Score |
|---|---|---|---|---|---|
| 1 | Booker, Cory A. (D, senate NJ) | cosponsor | 3 | — | 4 |
| 2 | Cortez Masto, Catherine (D, senate NV) | cosponsor | 3 | — | 4 |
| 3 | Warren, Elizabeth (D, senate MA) | cosponsor | 3 | — | 4 |
| 4 | Wyden, Ron (D, senate OR) | cosponsor | 3 | — | 4 |
| 5 | Hickenlooper, John W. (D, senate CO) | cosponsor | 2 | — | 3 |
| 6 | Van Hollen, Chris (D, senate MD) | cosponsor | 2 | — | 3 |
| 7 | Hassan, Margaret Wood (D, senate NH) | cosponsor | 1 | — | 2 |
| 8 | Kelly, Mark (D, senate AZ) | cosponsor | 1 | — | 2 |
| 9 | Kim, Andy (D, senate NJ) | cosponsor | 1 | — | 2 |
| 10 | Fetterman, John (D, senate PA) | cosponsor | 0 | — | 1 |
Who's influencing them
Orgs ranked by combined money flow on this bill: LDA filings citing the bill + individual contributions in cycle 2026from donors whose employer matches the org name (Schedule A) to any principal committee in the "who matters" list above.
| # | Org | LDA filings | LDA spend | Donor employees | Employee donations | Total |
|---|---|---|---|---|---|---|
| 1 | not employed | 0 | $0 | 5,205 | $310,247 | $310,247 |
| 2 | ASCENSION HEALTH ALLIANCE | 1 | $80,000 | 0 | $0 | $80,000 |
| 3 | SIXTEEN THIRTY FUND | 1 | $40,000 | 0 | $0 | $40,000 |
| 4 | self employed | 0 | $0 | 377 | $32,631 | $32,631 |
| 5 | none | 0 | $0 | 604 | $19,749 | $19,749 |
| 6 | self-employed | 0 | $0 | 213 | $18,778 | $18,778 |
| 7 | anthropic | 0 | $0 | 2 | $14,000 | $14,000 |
| 8 | mit | 0 | $0 | 5 | $7,110 | $7,110 |
| 9 | goldbug | 0 | $0 | 1 | $7,000 | $7,000 |
| 10 | anthropic pbc | 0 | $0 | 1 | $7,000 | $7,000 |
| 11 | retired | 0 | $0 | 87 | $5,955 | $5,955 |
| 12 | brightview senior living | 0 | $0 | 1 | $5,000 | $5,000 |
| 13 | apollo | 0 | $0 | 2 | $5,000 | $5,000 |
| 14 | freeport | 0 | $0 | 1 | $4,000 | $4,000 |
| 15 | starz | 0 | $0 | 1 | $3,500 | $3,500 |
| 16 | barnes & thornburg | 0 | $0 | 1 | $3,500 | $3,500 |
| 17 | castle knoll investments | 0 | $0 | 1 | $3,500 | $3,500 |
| 18 | unitleader | 0 | $0 | 1 | $3,300 | $3,300 |
| 19 | apollo global management | 0 | $0 | 1 | $3,000 | $3,000 |
| 20 | 179 bar and grill | 0 | $0 | 1 | $3,000 | $3,000 |
| 21 | public strategies washington | 0 | $0 | 1 | $2,500 | $2,500 |
| 22 | sutter hill ventures | 0 | $0 | 1 | $2,500 | $2,500 |
| 23 | us government | 0 | $0 | 1 | $2,500 | $2,500 |
| 24 | actumllc | 0 | $0 | 1 | $2,000 | $2,000 |
| 25 | steren electronics international, llc | 0 | $0 | 1 | $2,000 | $2,000 |
Predicted vote
Aggregated from: actual roll-call votes (when present) → sponsor → cosponsor → party median (predicts YES when ≥25% of the caucus sponsored/cosponsored). Each row labels its confidence tier so you can see why a position was predicted.
10 predicted yes (2%) · 280 predicted no (52%) · 253 unknown (46%)
By party: · R: 0 yes / 277 no · D: 10 yes / 0 no / 253 unknown · I: 0 yes / 3 no
10 high-confidence positions (voted + sponsor + cosponsor)
- Booker, Cory A. (D · senate · NJ) · cosponsor
- Cortez Masto, Catherine (D · senate · NV) · cosponsor
- Fetterman, John (D · senate · PA) · cosponsor
- Hassan, Margaret Wood (D · senate · NH) · cosponsor
- Hickenlooper, John W. (D · senate · CO) · cosponsor
- Kelly, Mark (D · senate · AZ) · cosponsor
- Kim, Andy (D · senate · NJ) · cosponsor
- Van Hollen, Chris (D · senate · MD) · cosponsor
- Warren, Elizabeth (D · senate · MA) · cosponsor
- Wyden, Ron (D · senate · OR) · cosponsor
Activity
Every typed-graph event involving this entity, newest first. Each row is one edge in the influence graph; click the date to jump to its provenance.
- 2026-05-17 · cosponsored by Van Hollen, Chris (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Kim, Andy (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Fetterman, John (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Booker, Cory A. (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Hickenlooper, John W. (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Hassan, Margaret Wood (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Kelly, Mark (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Cortez Masto, Catherine (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Wyden, Ron (cosponsor) · sponsorship
- 2026-05-17 · cosponsored by Warren, Elizabeth (cosponsor) · sponsorship
- 2026-01-01 · lobbied on by ASCENSION HEALTH ALLIANCE (s. 46) · lobbying_bill_mention
- 2026-01-01 · lobbied on by SIXTEEN THIRTY FUND (s.46) · lobbying_bill_mention
- 2026-01-01 · lobbied on by CAMBIA HEALTH SOLUTIONS (s. 46) · lobbying_bill_mention
- 2026-01-01 · lobbied on by NATIONAL ALLIANCE ON MENTAL ILLNESS (s. 46) · lobbying_bill_mention