# 119-hr-8324: Great American Healthcare Plan 119-hr-8324, Great American Healthcare Plan, is a 119th Congress bill sponsored by Rep. Burlison, Eric [R-MO-7] (R-MO); status introduced; PRIA reads it as touching household money (as of 2026-10-15). - Canonical: https://policyrisk.com/legislation/119-hr-8324 - As of: 2026-10-15 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: 119-hr-8324 - Congress: 119 - Title: Great American Healthcare Plan - Status: introduced - Introduced: 2026-04-16 - Sponsor: Rep. Burlison, Eric [R-MO-7] (R-MO) - Cosponsors: 15 - Policy area: Taxation - Touches household money: yes - Last recorded action: 2026-10-15 ## Summary **Rewrites Health Savings Accounts and forces broad, machine-readable price transparency across hospitals, labs, imaging centers, and outpatient surgery centers.** The bill also creates new pooled marketplaces and changes Medicare drug payment rules. - Families and patients get bigger HSA flexibility. Contribution limits are replaced with a new cap linked to tax code section 402(g), a catch-up for people 50 and older, expanded qualified expenses including insurance and direct primary care, wellness reimbursements with monthly caps of $100/$150/$200, and rollovers from FSAs/HRAs. - People shopping for care will see detailed, machine‑readable prices. Hospitals must publish at least 300 shoppable services through 12/31/2027 and then all shoppable services. Clinical labs, imaging providers, and ambulatory surgical centers must publish standard charges and negotiated rates with uniform formats by July 1, 2028, and a real‑time consumer cost estimator is required. - Employers, plans, and vendors face new data and oversight rules. Health Marketplace Pools can offer group plans, ERISA contracts must give fiduciaries claims and pricing data within 15 days, and serious penalties apply for noncompliance up to $100,000 per day. ## Cosponsors (15) - Rep. Perry, Scott [R-PA-10] (R-PA), 2026-10-13T00:00:00.000Z - Rep. Barrett, Tom [R-MI-7] (R-MI), 2026-04-16T00:00:00.000Z - Rep. McClintock, Tom [R-CA-5] (R-CA), 2026-04-22T00:00:00.000Z - Rep. Fuller, Clay [R-GA-14] (R-GA), 2026-04-30T00:00:00.000Z - Rep. Moore, Barry [R-AL-1] (R-AL), 2026-04-30T00:00:00.000Z - Rep. Mills, Cory [R-FL-7] (R-FL), 2026-04-30T00:00:00.000Z - Rep. Davidson, Warren [R-OH-8] (R-OH), 2026-04-30T00:00:00.000Z - Rep. Brecheen, Josh [R-OK-2] (R-OK), 2026-05-21T00:00:00.000Z - Rep. Crane, Elijah [R-AZ-2] (R-AZ), 2026-06-24T00:00:00.000Z - Rep. Cloud, Michael [R-TX-27] (R-TX), 2026-06-30T00:00:00.000Z - Rep. Higgins, Clay [R-LA-3] (R-LA), 2026-06-30T00:00:00.000Z - Rep. Biggs, Sheri [R-SC-3] (R-SC), 2026-06-30T00:00:00.000Z - Rep. Downing, Troy [R-MT-2] (R-MT), 2026-07-14T00:00:00.000Z - Rep. Luna, Anna Paulina [R-FL-13] (R-FL), 2026-07-22T00:00:00.000Z - Rep. Boebert, Lauren [R-CO-4] (R-CO), 2026-08-31T00:00:00.000Z ## Provisions PRIA read - Bigger HSA tax break and limits: benefit, high. If enacted, you would be able to deduct the total cash you put into your HSA for the year. The bill would also raise HSA contribution limits by tying the annual limit and the age-50 catch-up to other tax-code indexed amounts. These changes would apply to taxable years beginning after enactment. - Big new health-plan data rules: benefit, high. If enacted, health plans would have to file monthly machine-readable rate and payment files with public access starting by January 1, 2028. Plans must report in-network rates, drug net prices for a recent 90-day window, and billed/allowed amounts from out-of-network providers. Plan service vendors… - Clearer hospital, lab, and imaging prices: benefit, medium. If enacted, hospitals, certain ambulatory surgical centers, clinical labs, and non-hospital imaging providers would have to post standardized, machine-readable price files. Posted data must show billing codes, gross charges, and discounted cash prices for recent years, and ASCs, hospitals, labs, an… - Faster itemized bills and cost estimates: benefit, medium. If enacted, group health plans would have to give a clear, itemized notice within 45 days after any request for payment for an item or service for plan years starting January 1, 2027. Health plans would also have to provide real-time online cost and coverage estimates that accept billing codes and… - HSA pays primary care and wellness: benefit, medium. If enacted, HSAs could be used to pay primary care subscription fees and certain health-sharing payments. The bill would also allow monthly wellness reimbursements from HSAs, limited by your HSA balance: $100 per month if your balance is $5,000 or less; $150 per month if your balance is over $5,000… - More low-risk drugs in government programs: benefit, medium. If enacted, the health secretary would make a list of low-risk 'expanded-access' prescription drugs and set protocols so trained covered individuals (for example, pharmacists and advanced practice providers) can assess and dispense them in government-sponsored programs. The secretary must finish ru… - HSA beneficiary, correction, and bankruptcy protections: benefit, medium. If enacted, HSAs could be rolled directly to a child, parent, or grandparent as beneficiaries. A child who gets an inherited HSA and is claimed as a dependent could treat the account as their own. The bill would allow prompt correction of administrative contribution errors if returned by the tax fi… - Move FSA and charity funds to HSAs: benefit, medium. If enacted, unused FSA or HRA balances could be moved directly into your HSA by trustee-to-trustee transfer without harming the FSA/HRA's status, and those transfers would count as HSA contributions. The bill would also let charities contribute to your HSA through a link your trustee provides; each… - New health marketplace pools for groups: mixed, medium. If enacted, qualifying entities that form 'health marketplace pools' would be treated as an employer under ERISA for the limited purpose of offering group health plans or group insurance coverage. Pools must accept members without health-status screening and must offer coverage to all members. Pool… - New employer rules for HSA offers: mixed, medium. If enacted, an employer offer to put $450 a month into your HSA would count as an offer of minimum essential coverage and meet the affordability test for that month. The bill would also limit tax-free treatment of employer HSA contributions of $450 or more so the exclusion applies only for months y… ## Related bills - 119-hr-425: Repealing Big Brother Overreach Act - 119-hr-45: FIND Act - 119-hr-645: National Constitutional Carry Act - 119-hr-38: Constitutional Concealed Carry Reciprocity Act of 2025 - 119-hr-273: REMAIN in Mexico Act of 2025 - 119-hr-7678: Gun Owner Registration Information Protection Act ## Sources - [119-hr-8324 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/8324) ## Related - [119-hr-425: Repealing Big Brother Overreach Act](https://policyrisk.com/legislation/119-hr-425) - [119-hr-45: FIND Act](https://policyrisk.com/legislation/119-hr-45) - [119-hr-645: National Constitutional Carry Act](https://policyrisk.com/legislation/119-hr-645) - [119-hr-38: Constitutional Concealed Carry Reciprocity Act of 2025](https://policyrisk.com/legislation/119-hr-38) - [119-hr-273: REMAIN in Mexico Act of 2025](https://policyrisk.com/legislation/119-hr-273) - [119-hr-7678: Gun Owner Registration Information Protection Act](https://policyrisk.com/legislation/119-hr-7678) - [All bills in Congress](https://policyrisk.com/legislation) Source: PRIA, https://policyrisk.com/legislation/119-hr-8324 (as of 2026-10-15).