HR9107119th CongressWALLET

Patient Choice and Access Act of 2026

Sponsored By: Representative Rulli, Michael A. [R-OH-6]

Introduced

Summary

Removes the ACA's requirement that qualified health plans maintain a provider network. This bill would let insurers offer plans without traditional networks while requiring clearer cost and balance‑billing disclosures and tools to help enrollees find providers.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 0 benefits, 0 costs, 1 mixed.

More Exchange plans without networks

If enacted, for plan years beginning on or after January 1, 2027 this bill would stop the Secretary from requiring some qualified health plans to keep a provider network to meet certain Exchange certification rules. That means some Marketplace (Exchange) plans could operate without a traditional in-network panel. Any plan without a network would have to give plain-language information about expected out-of-pocket costs and the possibility of balance billing. Those plans would also have to provide good customer service or an online search tool to help people find providers who will accept the plan's stated payments as payment in full for covered services. This would affect people enrolled in or shopping for qualified health plans on the Health Insurance Exchange.

Sponsors & CoSponsors

Sponsor

Rulli, Michael A. [R-OH-6]

OH • R

Cosponsors

  • Rep. Griffith, H. Morgan [R-VA-9]

    VA • R

    Sponsored 6/2/2026

  • Rep. Balderson, Troy [R-OH-12]

    OH • R

    Sponsored 6/2/2026

  • Rep. Bean, Aaron [R-FL-4]

    FL • R

    Sponsored 6/2/2026

Roll Call Votes

No roll call votes available for this bill.

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