# 119-hr-1521: DOC Access Act of 2025

119-hr-1521, DOC Access Act of 2025, is a 119th Congress bill sponsored by Rep. Carter, Earl L. "Buddy" [R-GA-1] (R-GA); status introduced; PRIA reads it as touching household money (as of 2026-10-31).

- Canonical: https://policyrisk.com/legislation/119-hr-1521
- As of: 2026-10-31
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-1521
- Congress: 119
- Title: DOC Access Act of 2025
- Status: introduced
- Introduced: 2025-02-24
- Sponsor: Rep. Carter, Earl L. "Buddy" [R-GA-1] (R-GA)
- Cosponsors: 122
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-31

## Summary

**Protects dental and vision patients from surprise charges and strengthens provider control over contracts.** It creates a new federal rule that defines covered services, limits what providers can bill enrollees for noncovered items, requires provider consent for contract extensions after two years, and stops plans from forcing providers to use specific labs. - Families and patients: Providers can bill enrollees for noncovered items only up to the usual amount charged to non-enrollees. For dental cleanings a participating dentist may bill only the contracted network fee even if the cleaning exceeds an annual maximum. - Providers: Optometrists and dentists must agree to any limited-scope plan extension beyond two years. They may elect for a plan year to be excluded from many of these requirements but not from the two-year contract rule. - Plans and insurers: Must treat services as covered when the plan is obligated to pay a reasonable and not nominal amount and cannot limit the laboratory or source of materials that a provider chooses. - States and enforcement: The federal secretary will ask each State whether it will enforce these rules. If a State declines or does not respond within 90 days the State will be treated as not substantially enforcing them.

## Cosponsors (122)

- Rep. Clarke, Yvette D. [D-NY-9] (D-NY), 2025-02-24T00:00:00.000Z
- Rep. Malliotakis, Nicole [R-NY-11] (R-NY), 2025-03-03T00:00:00.000Z
- Rep. Brownley, Julia [D-CA-26] (D-CA), 2025-03-05T00:00:00.000Z
- Rep. Wagner, Ann [R-MO-2] (R-MO), 2025-03-10T00:00:00.000Z
- Rep. Cherfilus-McCormick, Sheila [D-FL-20] (D-FL), 2025-03-10T00:00:00.000Z
- Rep. Pocan, Mark [D-WI-2] (D-WI), 2025-03-10T00:00:00.000Z
- Rep. Foster, Bill [D-IL-11] (D-IL), 2025-03-14T00:00:00.000Z
- Rep. Krishnamoorthi, Raja [D-IL-8] (D-IL), 2025-03-18T00:00:00.000Z
- Rep. Ramirez, Delia C. [D-IL-3] (D-IL), 2025-03-18T00:00:00.000Z
- Rep. Valadao, David G. [R-CA-22] (R-CA), 2025-03-21T00:00:00.000Z
- Rep. Bost, Mike [R-IL-12] (R-IL), 2025-03-21T00:00:00.000Z
- Rep. Rouzer, David [R-NC-7] (R-NC), 2025-03-21T00:00:00.000Z
- Rep. Van Drew, Jefferson [R-NJ-2] (R-NJ), 2025-03-21T00:00:00.000Z
- Rep. Sessions, Pete [R-TX-17] (R-TX), 2025-03-21T00:00:00.000Z
- Rep. Pettersen, Brittany [D-CO-7] (D-CO), 2025-03-25T00:00:00.000Z
- Rep. Reschenthaler, Guy [R-PA-14] (R-PA), 2025-03-25T00:00:00.000Z
- Rep. Mrvan, Frank J. [D-IN-1] (D-IN), 2025-03-31T00:00:00.000Z
- Rep. LaHood, Darin [R-IL-16] (R-IL), 2025-03-31T00:00:00.000Z
- Rep. Perez, Marie Gluesenkamp [D-WA-3] (D-WA), 2025-03-31T00:00:00.000Z
- Rep. Simpson, Michael K. [R-ID-2] (R-ID), 2025-03-31T00:00:00.000Z
- Rep. Davids, Sharice [D-KS-3] (D-KS), 2025-03-31T00:00:00.000Z
- Rep. Bishop, Sanford D. [D-GA-2] (D-GA), 2025-04-01T00:00:00.000Z
- Rep. Schneider, Bradley Scott [D-IL-10] (D-IL), 2025-04-01T00:00:00.000Z
- Rep. Jackson, Jonathan L. [D-IL-1] (D-IL), 2025-04-01T00:00:00.000Z
- Rep. Torres, Ritchie [D-NY-15] (D-NY), 2025-04-01T00:00:00.000Z
- Rep. Meng, Grace [D-NY-6] (D-NY), 2025-04-03T00:00:00.000Z
- Rep. Castor, Kathy [D-FL-14] (D-FL), 2025-04-03T00:00:00.000Z
- Rep. Gottheimer, Josh [D-NJ-5] (D-NJ), 2025-04-07T00:00:00.000Z
- Rep. Johnson, Henry C. "Hank" [D-GA-4] (D-GA), 2025-04-07T00:00:00.000Z
- Rep. Womack, Steve [R-AR-3] (R-AR), 2025-04-07T00:00:00.000Z
- Rep. Smith, Christopher H. [R-NJ-4] (R-NJ), 2025-04-07T00:00:00.000Z
- Rep. Estes, Ron [R-KS-4] (R-KS), 2025-04-10T00:00:00.000Z
- Rep. Weber, Randy K. Sr. [R-TX-14] (R-TX), 2025-04-10T00:00:00.000Z
- Rep. Sorensen, Eric [D-IL-17] (D-IL), 2025-04-24T00:00:00.000Z
- Rep. Rutherford, John H. [R-FL-5] (R-FL), 2025-04-29T00:00:00.000Z
- Rep. Thompson, Glenn [R-PA-15] (R-PA), 2025-05-05T00:00:00.000Z
- Rep. Harder, Josh [D-CA-9] (D-CA), 2025-05-06T00:00:00.000Z
- Rep. Latimer, George [D-NY-16] (D-NY), 2025-05-08T00:00:00.000Z
- Rep. Quigley, Mike [D-IL-5] (D-IL), 2025-06-05T00:00:00.000Z
- Rep. Babin, Brian [R-TX-36] (R-TX), 2025-06-06T00:00:00.000Z
- Rep. Suozzi, Thomas R. [D-NY-3] (D-NY), 2025-06-09T00:00:00.000Z
- Rep. Rogers, Harold [R-KY-5] (R-KY), 2025-06-09T00:00:00.000Z
- Rep. Davis, Donald G. [D-NC-1] (D-NC), 2025-06-10T00:00:00.000Z
- Rep. Budzinski, Nikki [D-IL-13] (D-IL), 2025-06-17T00:00:00.000Z
- Del. Norton, Eleanor Holmes [D-DC-At Large] (D-DC), 2025-06-20T00:00:00.000Z
- Rep. Soto, Darren [D-FL-9] (D-FL), 2025-07-02T00:00:00.000Z
- Rep. Miller, Carol D. [R-WV-1] (R-WV), 2025-07-17T00:00:00.000Z
- Rep. Sewell, Terri A. [D-AL-7] (D-AL), 2025-07-17T00:00:00.000Z
- Rep. Harshbarger, Diana [R-TN-1] (R-TN), 2025-07-21T00:00:00.000Z
- Rep. Correa, J. Luis [D-CA-46] (D-CA), 2025-07-23T00:00:00.000Z
- Rep. Kelly, Trent [R-MS-1] (R-MS), 2025-08-29T00:00:00.000Z
- Rep. Stefanik, Elise M. [R-NY-21] (R-NY), 2025-08-29T00:00:00.000Z
- Rep. Gonzalez, Vicente [D-TX-34] (D-TX), 2025-09-04T00:00:00.000Z
- Rep. Norcross, Donald [D-NJ-1] (D-NJ), 2025-09-09T00:00:00.000Z
- Rep. Lee, Susie [D-NV-3] (D-NV), 2025-09-23T00:00:00.000Z
- Rep. Pappas, Chris [D-NH-1] (D-NH), 2025-09-30T00:00:00.000Z
- Rep. Fields, Cleo [D-LA-6] (D-LA), 2025-10-03T00:00:00.000Z
- Rep. Murphy, Gregory F. [R-NC-3] (R-NC), 2025-10-03T00:00:00.000Z
- Rep. Titus, Dina [D-NV-1] (D-NV), 2025-10-03T00:00:00.000Z
- Rep. Mannion, John W. [D-NY-22] (D-NY), 2025-10-03T00:00:00.000Z
- Rep. Schmidt, Derek [R-KS-2] (R-KS), 2025-10-03T00:00:00.000Z
- Rep. Ezell, Mike [R-MS-4] (R-MS), 2025-10-03T00:00:00.000Z
- Rep. Wilson, Joe [R-SC-2] (R-SC), 2025-10-08T00:00:00.000Z
- Rep. Tlaib, Rashida [D-MI-12] (D-MI), 2025-10-08T00:00:00.000Z
- Rep. Owens, Burgess [R-UT-4] (R-UT), 2025-10-08T00:00:00.000Z
- Rep. Mann, Tracey [R-KS-1] (R-KS), 2025-10-08T00:00:00.000Z
- Rep. Vindman, Eugene Simon [D-VA-7] (D-VA), 2025-10-08T00:00:00.000Z
- Rep. McBride, Sarah [D-DE-At Large] (D-DE), 2025-10-10T00:00:00.000Z
- Rep. Baumgartner, Michael [R-WA-5] (R-WA), 2025-10-10T00:00:00.000Z
- Rep. Beatty, Joyce [D-OH-3] (D-OH), 2025-10-14T00:00:00.000Z
- Rep. Barrett, Tom [R-MI-7] (R-MI), 2025-10-17T00:00:00.000Z
- Rep. Mullin, Kevin [D-CA-15] (D-CA), 2025-10-17T00:00:00.000Z
- Rep. Johnson, Dusty [R-SD-At Large] (R-SD), 2026-10-29T00:00:00.000Z
- Rep. Davis, Danny K. [D-IL-7] (D-IL), 2025-10-21T00:00:00.000Z
- Rep. Bergman, Jack [R-MI-1] (R-MI), 2025-10-21T00:00:00.000Z
- Rep. Swalwell, Eric [D-CA-14] (D-CA), 2025-10-21T00:00:00.000Z
- Rep. Panetta, Jimmy [D-CA-19] (D-CA), 2025-10-28T00:00:00.000Z
- Rep. Neguse, Joe [D-CO-2] (D-CO), 2025-10-28T00:00:00.000Z
- Rep. Vasquez, Gabe [D-NM-2] (D-NM), 2025-11-04T00:00:00.000Z
- Rep. Pingree, Chellie [D-ME-1] (D-ME), 2025-11-04T00:00:00.000Z
- Rep. Hoyle, Val T. [D-OR-4] (D-OR), 2025-11-07T00:00:00.000Z
- Rep. Mackenzie, Ryan [R-PA-7] (R-PA), 2025-11-12T00:00:00.000Z
- Rep. Craig, Angie [D-MN-2] (D-MN), 2025-11-17T00:00:00.000Z
- Rep. Goldman, Craig A. [R-TX-12] (R-TX), 2025-11-20T00:00:00.000Z
- Rep. Williams, Roger [R-TX-25] (R-TX), 2025-12-01T00:00:00.000Z
- Rep. Norman, Ralph [R-SC-5] (R-SC), 2025-12-02T00:00:00.000Z
- Rep. Miller, Mary E. [R-IL-15] (R-IL), 2025-12-03T00:00:00.000Z
- Rep. Simon, Lateefah [D-CA-12] (D-CA), 2025-12-05T00:00:00.000Z
- Rep. Ansari, Yassamin [D-AZ-3] (D-AZ), 2025-12-11T00:00:00.000Z
- Rep. Bynum, Janelle S. [D-OR-5] (D-OR), 2025-12-12T00:00:00.000Z
- Rep. Gillen, Laura [D-NY-4] (D-NY), 2025-12-15T00:00:00.000Z
- Rescom. Hernández, Pablo Jose [D-PR-At Large] (D-PR), 2025-12-17T00:00:00.000Z
- Rep. Evans, Gabe [R-CO-8] (R-CO), 2025-12-17T00:00:00.000Z
- Rep. Fry, Russell [R-SC-7] (R-SC), 2025-12-18T00:00:00.000Z
- Rep. Randall, Emily [D-WA-6] (D-WA), 2026-01-12T00:00:00.000Z
- Rep. Ross, Deborah K. [D-NC-2] (D-NC), 2026-01-14T00:00:00.000Z
- Rep. Westerman, Bruce [R-AR-4] (R-AR), 2026-01-21T00:00:00.000Z
- Rep. Moore, Riley M. [R-WV-2] (R-WV), 2026-02-03T00:00:00.000Z
- Rep. Langworthy, Nicholas A. [R-NY-23] (R-NY), 2026-02-05T00:00:00.000Z
- Rep. McDonald Rivet, Kristen [D-MI-8] (D-MI), 2026-02-10T00:00:00.000Z
- Rep. Walkinshaw, James R. [D-VA-11] (D-VA), 2026-03-12T00:00:00.000Z
- Rep. DelBene, Suzan K. [D-WA-1] (D-WA), 2026-03-17T00:00:00.000Z
- Rep. Amo, Gabe [D-RI-1] (D-RI), 2026-03-18T00:00:00.000Z
- Rep. Stansbury, Melanie A. [D-NM-1] (D-NM), 2026-03-19T00:00:00.000Z
- Rep. Biggs, Sheri [R-SC-3] (R-SC), 2026-03-24T00:00:00.000Z
- Rep. Whitesides, George [D-CA-27] (D-CA), 2026-03-25T00:00:00.000Z
- Rep. Lofgren, Zoe [D-CA-18] (D-CA), 2026-03-25T00:00:00.000Z
- Rep. Gooden, Lance [R-TX-5] (R-TX), 2026-04-06T00:00:00.000Z
- Rep. Larsen, Rick [D-WA-2] (D-WA), 2026-04-06T00:00:00.000Z
- Rep. Kiggans, Jennifer A. [R-VA-2] (R-VA), 2026-04-06T00:00:00.000Z
- Rep. Van Orden, Derrick [R-WI-3] (R-WI), 2026-04-21T00:00:00.000Z
- Rep. Tiffany, Thomas P. [R-WI-7] (R-WI), 2026-04-09T00:00:00.000Z
- Rep. McGuire, John J. [R-VA-5] (R-VA), 2026-04-15T00:00:00.000Z
- Rep. Kelly, Mike [R-PA-16] (R-PA), 2026-04-15T00:00:00.000Z
- Rep. Hageman, Harriet M. [R-WY-At Large] (R-WY), 2026-04-13T00:00:00.000Z
- Rep. Garcia, Sylvia R. [D-TX-29] (D-TX), 2026-04-16T00:00:00.000Z
- Rep. Scholten, Hillary J. [D-MI-3] (D-MI), 2026-04-16T00:00:00.000Z
- Rep. Guest, Michael [R-MS-3] (R-MS), 2026-04-27T00:00:00.000Z
- Rep. Van Epps, Matt [R-TN-7] (R-TN), 2026-05-04T00:00:00.000Z
- Rep. García, Jesús G. "Chuy" [D-IL-4] (D-IL), 2026-05-12T00:00:00.000Z
- Rep. Dingell, Debbie [D-MI-6] (D-MI), 2026-09-14T00:00:00.000Z
- Rep. Schakowsky, Janice D. [D-IL-9] (D-IL), 2026-09-15T00:00:00.000Z

## Provisions PRIA read

- New rules for dental and vision bills: mixed, medium. This bill would set new rules for dental and vision plans and in-network dentists and eye doctors. If a service is not covered, a participating provider could bill you no more than their usual price. For any dental cleaning, you would pay only the in-network fee, even if you pass your annual maximu…
- State enforcement of dental and vision rules: mixed, medium. Each year, the Secretary would ask every State if it will enforce these dental and vision rules. If a State says no, or does not answer in 90 days, the federal government would treat it as not enforcing and step in. Where a State’s insurance law conflicts, the State’s rules would control for issuer…

## Related bills

- 119-hr-2102: Major Richard Star Act
- 119-hr-909: Crime Victims Fund Stabilization Act of 2025
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-979: AM Radio for Every Vehicle Act of 2025
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025

## Sources
- [119-hr-1521 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/1521)

## Related
- [119-hr-2102: Major Richard Star Act](https://policyrisk.com/legislation/119-hr-2102)
- [119-hr-909: Crime Victims Fund Stabilization Act of 2025](https://policyrisk.com/legislation/119-hr-909)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-979: AM Radio for Every Vehicle Act of 2025](https://policyrisk.com/legislation/119-hr-979)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-hr-3514)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-1521 (as of 2026-10-31).