Expanding Affordable Health Insurance and Drug Cost Transparency
This act allows groups of employers and self-employed individuals to establish association health plans to provide insurance coverage. It also permits employers to fund employees' individual health plans through 'CHOICE arrangements.' Furthermore, it mandates reporting requirements for pharmacy benefit management (PBM) services to increase drug cost transparency and appropriates funding for cost-sharing reduction payments, with specific restrictions regarding abortion coverage.
Key points
Groups of employers and self-employed individuals can form Association Health Plans under specific conditions.
Employers can offer CHOICE arrangements to fund employees' individual health insurance instead of traditional group plans.
Pharmacy benefit management (PBM) services must submit detailed reports on drug costs, rebates, and fees.
The act appropriates funds for cost-sharing reduction payments starting in 2027, excluding plans covering abortion (with exceptions for life endangerment, rape, or incest).
VOTING RESULTS
2025-12-17
51%
For
216
Against
211
Abstain
0
Status:
Passed House
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