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Banning Common Ownership of Health Insurers and Certain Medicare Providers

This law aims to separate the ownership of health insurance companies and specific medical providers (excluding hospitals and pharmacies) that receive Medicare payments. Citizens may see increased competition and potentially better care quality, as companies will no longer be able to control both payment decisions and service delivery. Existing linked entities must sell off one part of their business within two years to comply with the new rules.
Key points
Insurance companies are prohibited from owning or controlling most medical facilities (like clinics) that receive Medicare payments.
The goal is to eliminate conflicts of interest where the same entity sets payment rules and profits from providing the services.
Violating this ban can result in a court order forcing the sale of assets and the return of all illegally obtained revenue to benefit the harmed community.
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Introduced
Citizen Poll
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Additional Information
Print number: 119_HR_5433
Sponsor: Rep. Hoyle, Val T. [D-OR-4]
Process start date: 2025-09-17