# 119-hr-9081: Healthcare Freedom and Fairness Act

119-hr-9081, Healthcare Freedom and Fairness Act, is a 119th Congress bill sponsored by Rep. Van Duyne, Beth [R-TX-24] (R-TX); status introduced; PRIA reads it as touching household money (as of 2026-07-02).

- Canonical: https://policyrisk.com/legislation/119-hr-9081
- As of: 2026-07-02
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-9081
- Congress: 119
- Title: Healthcare Freedom and Fairness Act
- Status: introduced
- Introduced: 2026-05-29
- Sponsor: Rep. Van Duyne, Beth [R-TX-24] (R-TX)
- Cosponsors: 0
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-07-02

## Summary

**This bill would treat health marketplace pools as employers for the purpose of offering group health plans and group health insurance.** It would allow those pools to offer plans that include prescription or nonprescription drugs, including over-the-counter drugs, as the sole benefit.

## Provisions PRIA read

- Who can join and enroll: benefit, medium. If enacted, people connected to a qualifying health marketplace pool would be able to enroll in the pool's group health plan. You or your employer could sign you and your dependents up. Eligible people would include members of an entity that joins the pool, employees of those members, and employees…
- Pools can offer drug-only plans: benefit, low. If enacted, an entity that meets the bill's pool requirements would be treated as an "employer" only for offering a group health plan or group health insurance coverage. That would let qualifying pools (or their insurer partners) offer plans or products at pool-established rates. The pool's coverag…
- Less employer and fiduciary risk: benefit, low. If enacted, joining or helping run a qualifying health marketplace pool would not, by itself, make you an employer for other legal purposes. It would not create a joint employer relationship for other laws. Also, mere membership in a qualifying pool would not automatically make a member a fiduciary…

## Related bills

- 119-hr-137: TCJA Permanency Act
- 119-hr-2570: Maximum Pressure Act
- 119-hr-1163: Prove It Act
- 119-hr-548: HSA Modernization Act
- 119-hr-8883: Protecting Seniors and Stopping Fraudsters Act
- 119-hr-8596: FAIR Labels Act of 2026

## Sources
- [119-hr-9081 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/9081)

## Related
- [119-hr-137: TCJA Permanency Act](https://policyrisk.com/legislation/119-hr-137)
- [119-hr-2570: Maximum Pressure Act](https://policyrisk.com/legislation/119-hr-2570)
- [119-hr-1163: Prove It Act](https://policyrisk.com/legislation/119-hr-1163)
- [119-hr-548: HSA Modernization Act](https://policyrisk.com/legislation/119-hr-548)
- [119-hr-8883: Protecting Seniors and Stopping Fraudsters Act](https://policyrisk.com/legislation/119-hr-8883)
- [119-hr-8596: FAIR Labels Act of 2026](https://policyrisk.com/legislation/119-hr-8596)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-9081 (as of 2026-07-02).