Save American Healthcare Act

This bill extends health insurance premium tax credits for taxpayers with household incomes above 400% of the poverty line, temporarily allowing credits for those who would otherwise lose eligibility. It modifies the Internal Revenue Code to apply this extension without a fixed end date, instead tying it to budget estimates that must balance increased federal costs against tariff revenue gains. The key provision adjusts how the credit amount is calculated for tax years beginning after December 31, 2025, using a temporary rule based on projected federal budget impacts. It directly affects middle- and higher-income individuals who rely on these subsidies to afford health insurance coverage. The bill does not change eligibility thresholds but extends current subsidy rules under specific fiscal constraints.