# 119-hr-5433: POP Act

119-hr-5433, POP Act, is a 119th Congress bill sponsored by Rep. Hoyle, Val T. [D-OR-4] (D-OR); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-5433
- 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-5433
- Congress: 119
- Title: POP Act
- Status: introduced
- Introduced: 2025-09-17
- Sponsor: Rep. Hoyle, Val T. [D-OR-4] (D-OR)
- Cosponsors: 5
- Policy area: Commerce
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**Stops common ownership between health insurers and certain Medicare providers to limit conflicts of interest and anticompetitive behavior.** This bill would bar a person from simultaneously owning an applicable provider or a management services organization that serves that provider and a health insurance issuer, and it creates divestment, enforcement, and rulemaking tools to separate those interests. - Medicare Advantage enrollees: Would prevent Medicare Advantage (MA) organizations from contracting with or receiving payments if the insurer directly or indirectly owns or controls an applicable provider or MSO that serves that provider. The MA prohibition applies for plan years beginning on or after January 1, 2026. - Providers and management services organizations: Entities found in violation would have to divest either the provider or the insurer. Deadlines are 2 years after enactment for existing acquisitions and 1 year after acquisition for future deals. - Insurers, enforcement, and communities: The HHS Inspector General, the Department of Justice Antitrust Division, the Federal Trade Commission, or state attorneys general could seek injunctions, divestiture, and disgorgement. Disgorged revenues would be deposited into an FTC-created fund to meet harmed community health care needs.

## Cosponsors (5)

- Rep. Ryan, Patrick [D-NY-18] (D-NY), 2025-09-17T00:00:00.000Z
- Rep. Jayapal, Pramila [D-WA-7] (D-WA), 2025-09-17T00:00:00.000Z
- Rep. Ocasio-Cortez, Alexandria [D-NY-14] (D-NY), 2025-09-17T00:00:00.000Z
- Rep. Khanna, Ro [D-CA-17] (D-CA), 2025-10-08T00:00:00.000Z
- Rep. Balint, Becca [D-VT-At Large] (D-VT), 2025-10-08T00:00:00.000Z

## Provisions PRIA read

- Ban on insurers owning Medicare providers: benefit, high. If enacted, this would bar the same person from owning or controlling both a health insurer and certain Medicare providers, or their management groups. It would cover direct or indirect control and include management services organizations with management contracts. “Applicable providers” would mea…
- Violators must sell and repay revenues: benefit, high. If enacted, anyone breaking the ownership ban would have to sell either the provider (or its management group) or the insurer. If the overlap existed before the law, they would have up to 2 years to sell; if acquired after, up to 1 year after the purchase. The clock would pause during any Clayton A…
- Medicare Advantage plans face ownership bar: mixed, high. Starting with plan years on or after January 1, 2026, the government would not be allowed to contract with or pay a Medicare Advantage plan if the plan or its owner also owns or controls a covered provider or its management group. MA organizations would have to certify they follow this rule and giv…

## Related bills

- 119-hr-7973: Momnibus Act
- 119-hr-7977: Energy Bills Relief Act
- 119-hr-3151: SHIPS for America Act of 2025
- 119-hr-7853: PrEP Access and Coverage Act of 2026
- 119-hr-51: Washington, D.C. Admission Act
- 119-hr-20: Richard L. Trumka Protecting the Right to Organize Act of 2025

## Sources
- [119-hr-5433 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/5433)

## Related
- [119-hr-7973: Momnibus Act](https://policyrisk.com/legislation/119-hr-7973)
- [119-hr-7977: Energy Bills Relief Act](https://policyrisk.com/legislation/119-hr-7977)
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [119-hr-7853: PrEP Access and Coverage Act of 2026](https://policyrisk.com/legislation/119-hr-7853)
- [119-hr-51: Washington, D.C. Admission Act](https://policyrisk.com/legislation/119-hr-51)
- [119-hr-20: Richard L. Trumka Protecting the Right to Organize Act of 2025](https://policyrisk.com/legislation/119-hr-20)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-5433 (as of 2026-04-21).