# 119-hr-6575: CommonGround for Affordable Health Care Act

119-hr-6575, CommonGround for Affordable Health Care Act, is a 119th Congress bill sponsored by Rep. Kiggans, Jennifer A. [R-VA-2] (R-VA); status introduced; PRIA reads it as touching household money (as of 2026-04-24).

- Canonical: https://policyrisk.com/legislation/119-hr-6575
- As of: 2026-04-24
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-6575
- Congress: 119
- Title: CommonGround for Affordable Health Care Act
- Status: introduced
- Introduced: 2025-12-10
- Sponsor: Rep. Kiggans, Jennifer A. [R-VA-2] (R-VA)
- Cosponsors: 38
- Policy area: Taxation
- Touches household money: yes
- Last recorded action: 2026-04-24

## Summary

**expand the enhanced premium tax credit** while adding fraud guardrails for agents and new transparency rules for pharmacy benefit managers. This bill would raise eligibility for advance credits and tighten enrollment and PBM oversight to protect consumers and federal programs. - Families and households: The bill would raise the advance premium tax credit income cap for 2026 from 400% of the Federal Poverty Line to 1000% and set a 2026 premium-percent table that reduces required premium shares at lower incomes. - Consumers and Exchanges: It would require verification for agent-submitted enrollments, quarterly checks for deceased enrollees, advance notice of premium tax credit amounts starting 2027, and an extended open enrollment from Nov. 1, 2025 to Mar. 19, 2026. - Agents and brokers: New standards would impose civil penalties of $10,000 to $50,000 for negligence, up to $200,000 for knowing violations, and criminal penalties including fines and up to 10 years imprisonment for willful misconduct. - PBMs, plans, and Medicare enrollees: The bill would force broad PBM definitions, strict limits on remuneration, annual machine‑readable reporting, mandatory audits, and apply many rules to Medicare Part D and MA‑PD plans for plan years beginning on or after Jan. 1, 2029. *It would appropriate $113 million to the CMS Program Management Account and $20 million to the HHS Inspector General for FY2026 to implement PBM provisions.*

## Cosponsors (38)

- Rep. Gottheimer, Josh [D-NJ-5] (D-NJ), 2025-12-10T00:00:00.000Z
- Rep. Lawler, Michael [R-NY-17] (R-NY), 2025-12-10T00:00:00.000Z
- Rep. Cuellar, Henry [D-TX-28] (D-TX), 2025-12-10T00:00:00.000Z
- Rep. Bresnahan, Robert P. [R-PA-8] (R-PA), 2025-12-10T00:00:00.000Z
- Rep. Suozzi, Thomas R. [D-NY-3] (D-NY), 2025-12-10T00:00:00.000Z
- Rep. Mackenzie, Ryan [R-PA-7] (R-PA), 2025-12-10T00:00:00.000Z
- Rep. Lee, Susie [D-NV-3] (D-NV), 2025-12-10T00:00:00.000Z
- Rep. Salazar, Maria Elvira [R-FL-27] (R-FL), 2025-12-10T00:00:00.000Z
- Rep. Landsman, Greg [D-OH-1] (D-OH), 2025-12-10T00:00:00.000Z
- Rep. Van Drew, Jefferson [R-NJ-2] (R-NJ), 2025-12-10T00:00:00.000Z
- Rep. Case, Ed [D-HI-1] (D-HI), 2025-12-10T00:00:00.000Z
- Rep. Ciscomani, Juan [R-AZ-6] (R-AZ), 2025-12-10T00:00:00.000Z
- Rep. Costa, Jim [D-CA-21] (D-CA), 2025-12-10T00:00:00.000Z
- Rep. Valadao, David G. [R-CA-22] (R-CA), 2025-12-10T00:00:00.000Z
- Rep. Riley, Josh [D-NY-19] (D-NY), 2025-12-10T00:00:00.000Z
- Rep. Hurd, Jeff [R-CO-3] (R-CO), 2025-12-10T00:00:00.000Z
- Rep. Scholten, Hillary J. [D-MI-3] (D-MI), 2025-12-10T00:00:00.000Z
- Rep. Bacon, Don [R-NE-2] (R-NE), 2025-12-10T00:00:00.000Z
- Rep. Wilson, Frederica S. [D-FL-24] (D-FL), 2025-12-10T00:00:00.000Z
- Rep. Gimenez, Carlos A. [R-FL-28] (R-FL), 2025-12-10T00:00:00.000Z
- Rep. Goodlander, Maggie [D-NH-2] (D-NH), 2025-12-10T00:00:00.000Z
- Rep. De La Cruz, Monica [R-TX-15] (R-TX), 2025-12-10T00:00:00.000Z
- Rep. Soto, Darren [D-FL-9] (D-FL), 2025-12-10T00:00:00.000Z
- Rep. LaLota, Nick [R-NY-1] (R-NY), 2025-12-10T00:00:00.000Z
- Rep. Gray, Adam [D-CA-13] (D-CA), 2025-12-10T00:00:00.000Z
- Rep. Kiley, Kevin [I-CA-3] (I-CA), 2025-12-10T00:00:00.000Z
- Rep. Gonzalez, Vicente [D-TX-34] (D-TX), 2025-12-10T00:00:00.000Z
- Rep. Kean, Thomas H. [R-NJ-7] (R-NJ), 2025-12-10T00:00:00.000Z
- Rep. Figures, Shomari [D-AL-2] (D-AL), 2025-12-10T00:00:00.000Z
- Rep. Fitzpatrick, Brian K. [R-PA-1] (R-PA), 2025-12-10T00:00:00.000Z
- Rep. Pappas, Chris [D-NH-1] (D-NH), 2025-12-10T00:00:00.000Z
- Rep. Liccardo, Sam T. [D-CA-16] (D-CA), 2025-12-10T00:00:00.000Z
- Rep. Davis, Donald G. [D-NC-1] (D-NC), 2025-12-10T00:00:00.000Z
- Rep. Moskowitz, Jared [D-FL-23] (D-FL), 2025-12-10T00:00:00.000Z
- Rep. Panetta, Jimmy [D-CA-19] (D-CA), 2025-12-10T00:00:00.000Z
- Rep. Peters, Scott H. [D-CA-50] (D-CA), 2025-12-10T00:00:00.000Z
- Rep. Golden, Jared F. [D-ME-2] (D-ME), 2025-12-10T00:00:00.000Z
- Rep. Perez, Marie Gluesenkamp [D-WA-3] (D-WA), 2025-12-11T00:00:00.000Z

## Provisions PRIA read

- New limits on Medicare drug middlemen: benefit, high. Starting with plan years on or after January 1, 2029, pharmacy benefit managers for Medicare drug plans would only be paid flat, fair‑market service fees. They would have to file detailed, machine‑readable reports for each plan and drug by July 1 each year, allow audits, and return improper payment…
- Bigger 2026 Marketplace premium tax credits: benefit, high. For the 2026 tax year only, the bill would let households with income up to 1,000% of the poverty line get the premium tax credit. It would also set a special 2026 table for your expected share of premiums. Up to 150% FPL: 0.0%; 150–200%: 0.0%–2.0%; 200–250%: 2.0%–4.0%; 250–300%: 4.0%–6.0%. 300–400…
- Longer 2026 Marketplace sign-up window: benefit, medium. For plan year 2026, open enrollment would run from November 1, 2025 through March 19, 2026. The Secretary would also do outreach so people know about the longer window. This could make it easier to get coverage or change plans.
- Stronger rules for Marketplace enrollments: benefit, medium. The bill would set tough oversight for agents and brokers by January 1, 2029. Fines could be $10,000 to $50,000 per person for negligence and up to $200,000 per person for knowing fraud, plus up to 10 years in prison for willful fraud. Enrollments they submit would need verified consent, and commis…
- Faster votes on premium savings bills: mixed, low. Congress would use a fast‑track process for certain bills that focus only on health insurance premium savings. To qualify, a bill would need at least 10 cosponsors from each party when offered. Debate and timing would be limited, and both Houses would have to vote by July 1, 2026. This speeds consi…

## Related bills

- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-2102: Major Richard Star Act
- 119-hr-1422: Enhanced Iran Sanctions Act of 2025
- 119-hr-4206: CONNECT for Health Act of 2025
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-2048: Metastatic Breast Cancer Access to Care Act

## Sources
- [119-hr-6575 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/6575)

## Related
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-2102: Major Richard Star Act](https://policyrisk.com/legislation/119-hr-2102)
- [119-hr-1422: Enhanced Iran Sanctions Act of 2025](https://policyrisk.com/legislation/119-hr-1422)
- [119-hr-4206: CONNECT for Health Act of 2025](https://policyrisk.com/legislation/119-hr-4206)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-2048: Metastatic Breast Cancer Access to Care Act](https://policyrisk.com/legislation/119-hr-2048)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-6575 (as of 2026-04-24).