# 119-hr-9754: Health Claim Denial Transparency Act

119-hr-9754, Health Claim Denial Transparency Act, is a 119th Congress bill sponsored by Rep. McBath, Lucy [D-GA-6] (D-GA); status introduced; PRIA reads it as touching household money (as of 2026-07-30).

- Canonical: https://policyrisk.com/legislation/119-hr-9754
- As of: 2026-07-30
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-9754
- Congress: 119
- Title: Health Claim Denial Transparency Act
- Status: introduced
- Introduced: 2026-07-16
- Sponsor: Rep. McBath, Lucy [D-GA-6] (D-GA)
- Cosponsors: 0
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-07-30

## Summary

**Transparent reporting of health claim denials** would require group health plans to add standardized counts and dollar amounts for claims and denials to their ERISA annual reports. The bill would also require plans to report denial reasons and the number of claims handled by automated or AI decision tools. - Families and plan participants would get counts of claims submitted, approved, denied, appealed, and reversed, plus totals for amounts paid and denied, and the reasons denials occurred. - Employers and plan administrators would have to include more detailed data in ERISA reports. Plans with fewer than 100 participants must comply, but plans may omit prescription drug, mental health and substance use, or cancer claim counts if they had 20 or fewer such claims in the plan year. - Regulators, researchers, and consumer advocates would receive standardized fields for pre service, post service, urgent care, inpatient, and outpatient claim activity, denial bases, and AI or automated decision use.

## Provisions PRIA read

- More claim denial transparency for workers: benefit, high. If enacted, the Secretary of Labor would have to issue a regulation within one year. The rule would require every employer-sponsored group health plan to put many claims and denial data fields in its annual ERISA report. Required fields would include counts of claims submitted, approved, denied, ap…

## Related bills

- 119-hr-10421: Transforming Education for the Future Act
- 119-hr-4669: FEMA Act of 2025
- 119-hr-7973: Momnibus Act
- 119-hr-7853: PrEP Access and Coverage Act of 2026
- 119-hr-5361: George Floyd Justice in Policing Act of 2025
- 119-hr-7333: Family Violence Prevention and Services Improvement Act of 2026

## Sources
- [119-hr-9754 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/9754)

## Related
- [119-hr-10421: Transforming Education for the Future Act](https://policyrisk.com/legislation/119-hr-10421)
- [119-hr-4669: FEMA Act of 2025](https://policyrisk.com/legislation/119-hr-4669)
- [119-hr-7973: Momnibus Act](https://policyrisk.com/legislation/119-hr-7973)
- [119-hr-7853: PrEP Access and Coverage Act of 2026](https://policyrisk.com/legislation/119-hr-7853)
- [119-hr-5361: George Floyd Justice in Policing Act of 2025](https://policyrisk.com/legislation/119-hr-5361)
- [119-hr-7333: Family Violence Prevention and Services Improvement Act of 2026](https://policyrisk.com/legislation/119-hr-7333)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-9754 (as of 2026-07-30).
