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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
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.
Print number: HR 3969
Sponsor: Rep. Curtis, John R. [R-UT-3]
Process start date: 2021-06-17