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Health Insurance: Supporting Social Health Factors

New rules allow health insurance companies to count expenses for activities addressing social determinants of health as medical costs. This means insurers can invest in programs that improve living conditions affecting health, such as access to healthy food or safe housing, potentially leading to better healthcare for citizens.
Key points
Health insurance companies can now include expenses for activities addressing social determinants of health (e.g., housing conditions, food access) in their financial reports.
The changes aim to encourage insurers to invest in prevention and support health beyond traditional medical services, potentially improving community health.
The new rules will apply to plan years beginning on or after January 1, 2024.
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Additional Information
Print number: 117_HR_3969
Sponsor: Rep. Curtis, John R. [R-UT-3]
Process start date: 2021-06-17
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Summarized by: gemini-2.5-flash-preview-05-20
Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios.

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 117_HR_3969.

Which chamber initiated this legislation?

This legislation was initiated in the House of Representatives.

When did the legislative process begin?

The process officially started on 2021-06-17.

What are the main provisions?

Key points include:

  • Health insurance companies can now include expenses for activities addressing social determinants of health (e.g., housing conditions, food access) in their financial reports.
  • The changes aim to encourage insurers to invest in prevention and support health beyond traditional medical services, potentially improving community health.
  • The new rules will apply to plan years beginning on or after January 1, 2024.
What is the specific legal status?

The current status is Expired.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Rep. Curtis, John R. [R-UT-3].

What is the latest detailed status?

The latest detailed status is: Referred to the Subcommittee on Health.

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-28.

CATEGORIES

Health