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119TH CONGRESS · 1ST SESSION
SENATEROLL CALL #643CLOTUREHEALTHCLOSE · 9 SHORT
SENATE #643CLOTUREHEALTH

Senate fails to end debate on the Health Care Freedom for Patients Act of 2025

On the Cloture Motion S. 3386

DEC 11, 2025 · 11:45 AM ET

FAILED
51–48
51 YEA · 48 NAY · 1 NOT VOTING9 SHORT
60 NEEDED
NEEDED 609 SHORT

Party-line vote, except 1 Republican who crossed. 9 votes short of the 60 needed.

READ THIS RIGHT

A yes on cloture only ends debate. It is not a vote to pass the bill.

WHAT IS CLOTURE →
51–48FAILED
45 DEM2 IND53 REP
YEANAYCROSSEDTAP A SEAT
WHAT WAS DECIDED

What the Senate was voting on

FROM THE SENATE CLERK AND CONGRESS.GOV
IN PLAIN WORDS

The Senate voted on whether to end debate on S. 3386, the Health Care Freedom for Patients Act of 2025. The bill would provide federal payments to some people’s health savings accounts, expand access to catastrophic plans, and change Medicaid and CHIP rules. The motion fell 9 votes short of the 60 needed, so debate was not ended.

A YES MEANT

End debate on S. 3386; this is not a vote to pass the bill.

A NO MEANT

Keep debating S. 3386; this is not a vote against the bill itself.

THE MEASURE · S. 3386
Health Care Freedom for Patients Act of 2025

Provides HSA payments to some marketplace enrollees, expands access to catastrophic plans, and changes Medicaid, CHIP, and coverage rules.

OPEN THE BILL →
WHERE IT STANDS · WHAT’S NEXT

In committee in the Senate since Dec. 8, 2025, 308 days after it was introduced. Most bills never leave committee.

WHY IT NEEDED 600 VACANT · 100 SWORN
60is three-fifths of the 100 senators sworn in. Cloture needs three-fifths of sworn senators, not of those voting.
SINCE 1975
Cloture on bills has needed three-fifths. Before that it took two-thirds of those voting.
2013, 2017
Nominations dropped to a simple majority. Bills did not.
VP
The Vice President can break ties on simple-majority votes, not on cloture.
THE MEASURE · S. 3386Health Care Freedom for Patients Act of 2025Provides HSA payments to some marketplace enrollees, expands access to catastrophic plans, and changes Medicaid, CHIP, and coverage rules.
HOW EACH SIDE VOTED

Party line, with 1 Republican crossing1 Republican crossed. It wasn’t enough.

CROSSED = VOTED AGAINST MOST OF THEIR PARTY
BY PARTYYEA–NAY
DemocratsNONE CROSSED
Republicans1 CROSSED TO NAY
IndependentsCAUCUS WITH DEMOCRATS
THE ARITHMETICCOUNTS ONLY
47
nays without the 1 who crossed
48
nays with them
+9
more had to switch from nay to reach 60
THE 1 WHO CROSSEDHOW OFTEN THEY VOTE WITH PARTY
Rand Paul
R-KY · VOTED NAY
BY STATEONE BAR PER SENATOR
YEANAYNOT VOTINGA SENATOR CROSSEDYOUR STATE
9 SHORT
The closest a cloture vote has come to 60 since November
1 CROSSED
The most Republican to cross on a cloture vote since November
14TH
Party-line Senate vote in December 2025
47
nays without the 1
48
nays with them
+9
needed for 60
THE 1 WHO CROSSED
9 SHORTThe closest a cloture vote has come to 60 since November
1 CROSSEDThe most Republican to cross on a cloture vote since November
14THParty-line Senate vote in December 2025
THE FULL ROLL

All 100 senators, by stateAll 100 senators

1 NOT VOTING · 0 PRESENT · 0 VACANT
100 SHOWNTAP A NAME FOR DETAILS
100 SHOWN
THE JOURNEY

Every vote on S. 3386, in both chambersEvery vote on S. 3386

ROLL CALLS, COMMITTEE AND FLOOR ACTIONS
HOUSE
SENATE
DEC 11SENATE#643Cloture on the billTHIS VOTEFAILED51–48
DEC 9SENATE—Cloture motion filedFILED
SENATE · DEC 11
51–48
FAILED · NEEDED 60
IN THE SENATE · DEC 9 – 11PENDING
  1. DEC 9Cloture motion filedFILED
  2. DEC 11#643THIS VOTECloture on the billFAILED51–489 votes short of the 60 needed.
IN THE NEWS · 3 STORIESIN THE NEWS

Coverage of this vote and its bill3 stories from 2 outlets

LEAN DESCRIBES THE OUTLETS, NOT THE VOTE
READERS · 0 COMMENTS

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