# 119-hr-4056: RAMP Act

119-hr-4056, RAMP Act, is a 119th Congress bill sponsored by Rep. Bilirakis, Gus M. [R-FL-12] (R-FL); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-4056
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-4056
- Congress: 119
- Title: RAMP Act
- Status: introduced
- Introduced: 2025-06-20
- Sponsor: Rep. Bilirakis, Gus M. [R-FL-12] (R-FL)
- Cosponsors: 1
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**Creates a private right to sue group health plans that fail to pay as primary under Medicare Secondary Payer rules.** It would apply specifically to the group health plans defined in the Social Security Act by replacing the prior "primary plan" reference. - Patients and Medicare beneficiaries could bring private lawsuits for damages when an employer-sponsored group health plan does not provide primary payment or proper reimbursement. - Employers and health insurers that sponsor group health plans would face new legal exposure to private damage claims tied to failures to meet Medicare Secondary Payer payment or reimbursement duties.

## Cosponsors (1)

- Rep. Schneider, Bradley Scott [D-IL-10] (D-IL), 2025-06-20T00:00:00.000Z

## Provisions PRIA read

- Lawsuit option if employer plan won't pay: mixed, low. If enacted, Medicare enrollees with employer group coverage would have a clearer right to sue the group plan for damages when it fails to pay first or reimburse Medicare. The bill would change the law to name "group health plan" instead of "primary plan," focusing the remedy on employer plans. It w…

## Related bills

- 119-hr-9237: Take Care of America’s Veterans Act
- 119-hr-4669: FEMA Act of 2025
- 119-hr-6900: American Affordability Act of 2025
- 119-hr-1229: United States-Israel Defense Partnership Act of 2025
- 119-hr-1518: New Era of Preventing End-Stage Kidney Disease Act
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act

## Sources
- [119-hr-4056 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/4056)

## Related
- [119-hr-9237: Take Care of America’s Veterans Act](https://policyrisk.com/legislation/119-hr-9237)
- [119-hr-4669: FEMA Act of 2025](https://policyrisk.com/legislation/119-hr-4669)
- [119-hr-6900: American Affordability Act of 2025](https://policyrisk.com/legislation/119-hr-6900)
- [119-hr-1229: United States-Israel Defense Partnership Act of 2025](https://policyrisk.com/legislation/119-hr-1229)
- [119-hr-1518: New Era of Preventing End-Stage Kidney Disease Act](https://policyrisk.com/legislation/119-hr-1518)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-4056 (as of 2026-04-21).