New Health Options: Reinsurance Program and Healthcare Cost Transparency.
This act establishes a reinsurance program for health insurers to potentially lower premiums for individuals outside of health insurance exchanges. It also modifies age-based premium limits and mandates healthcare providers to disclose if insured patients' costs exceed those for uninsured individuals. The goal is to increase transparency and potentially reduce healthcare expenses for citizens.
Key points
Reinsurance Program: Insurers will receive financial support for high claims, aiming to reduce premiums for individuals enrolled in off-exchange plans.
Age-Based Premium Changes: Insurers gain more flexibility in setting premiums based on age, which could affect costs for different age groups.
Cost Transparency: Healthcare providers must disclose if costs for insured patients are higher than for uninsured individuals, promoting informed choices.
Out-of-Network Costs: Out-of-network medical costs can be applied to deductibles and out-of-pocket maximums under specific price conditions.
Introduced
Additional Information
Print number: 119_HR_1776
Sponsor: Rep. Palmer, Gary J. [R-AL-6]
Process start date: 2025-03-03