# 119-s-4583: Legalizing Premium Health Care Act of 2026

119-s-4583, Legalizing Premium Health Care Act of 2026, is a 119th Congress bill sponsored by Sen. Paul, Rand [R-KY] (R-KY); status introduced; PRIA reads it as touching household money (as of 2026-06-14).

- Canonical: https://policyrisk.com/legislation/119-s-4583
- As of: 2026-06-14
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-4583
- Congress: 119
- Title: Legalizing Premium Health Care Act of 2026
- Status: introduced
- Introduced: 2026-05-20
- Sponsor: Sen. Paul, Rand [R-KY] (R-KY)
- Cosponsors: 1
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-06-14

## Summary

**Freedom to contract for Medicare services.** This bill would create a Medicare option that lets beneficiaries and eligible professionals freely enter written contracts for Medicare-covered items and services and submit claims for payment under Medicare rules. - Beneficiaries gain the right to sign a written contract that lists the services and payment before care. The contract must be signed and it prevents the beneficiary from owing charges above the agreed amount during the contract period. - Eligible professionals can contract with Medicare patients whether they are participating or not. Payment for claims under those contracts is calculated as it would be under Medicare and is treated as if the professional were participating, without changing their participation status. - People who are eligible for both Medicare and Medicaid are not eligible to use this contracting option.

## Cosponsors (1)

- Sen. Murkowski, Lisa [R-AK] (R-AK), 2026-05-20T00:00:00.000Z

## Provisions PRIA read

- New Medicare private contracting option: mixed, medium. If enacted, you would be able to sign a written contract with a doctor or eligible professional for Medicare-covered services. Contracts must be signed by both parties and list all terms, including the exact payment, before care. You could have the professional file Medicare and supplemental claims…

## Related bills

- 119-s-2886: America’s CHILDREN Act of 2025
- 119-sconres-39: A concurrent resolution setting forth the congressional budget for the United States Government for fiscal year 2027 and setting forth the appropriate budgetar…
- 119-s-2557: Epstein Files Transparency Act
- 119-s-478: Veterans 2nd Amendment Protection Act of 2025
- 119-s-5: Laken Riley Act
- 119-sjres-77: A joint resolution terminating the national emergency declared to impose duties on articles imported from Canada.

## Sources
- [119-s-4583 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/4583)

## Related
- [119-s-2886: America’s CHILDREN Act of 2025](https://policyrisk.com/legislation/119-s-2886)
- [119-sconres-39: A concurrent resolution setting forth the congressional budget for the United S…](https://policyrisk.com/legislation/119-sconres-39)
- [119-s-2557: Epstein Files Transparency Act](https://policyrisk.com/legislation/119-s-2557)
- [119-s-478: Veterans 2nd Amendment Protection Act of 2025](https://policyrisk.com/legislation/119-s-478)
- [119-s-5: Laken Riley Act](https://policyrisk.com/legislation/119-s-5)
- [119-sjres-77: A joint resolution terminating the national emergency declared to impose duties…](https://policyrisk.com/legislation/119-sjres-77)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-4583 (as of 2026-06-14).