PRIA Logo™
HR9228119th CongressWALLET

Health DATA Act of 2026

Sponsored By: Representative Onder, Robert F. [R-MO-3]

In Committee

Summary

Gives ERISA plan fiduciaries direct, standardized access to health-claims data. The bill requires plans to get full claims and de-identified encounter data for oversight, in HIPAA-consistent formats and delivery methods.

Personalized for You

How does this bill affect your finances?

Personalize government policy and PRIA will tell you what this bill means for your household, plus every other piece of legislation we track. PRIA reads each provision against your financial profile to show you exactly what matters to your wallet.

Free to download

Bill Overview

Analyzed Economic Effects

3 provisions identified: 2 benefits, 0 costs, 1 mixed.

Fines for blocking plan data

This bill would let the Labor Department fine a person or company up to $10,000 per day for violating the plan data rules. The penalty could apply to network service providers, TPAs, plan sponsors, or plan administrators. Penalties would be in addition to other legal penalties. The change would strengthen enforcement for fiduciaries but also create large daily fines for vendors and contractors.

Privacy rules for plan claims data

This bill would require any plan data shared under the new rules to be handled in line with existing HIPAA privacy and security regulations. It would not change HIPAA or add new privacy duties for service providers or plan sponsors. Plans could disclose data only in ways consistent with HIPAA.

More plan data for employers

This bill would give plan fiduciaries stronger access to claims, pricing, fees, and audit records. Contracts could not limit access or delay data more than 15 days, and fiduciaries could run audits and see overpayment and payment terms. Plans would get unmodified electronic claims and payment files at no cost and paper claims would be converted to electronic files. Non-claim costs would be itemized and provided in real time via a web portal, API, or downloadable CSV file.

Sponsors & CoSponsors

Sponsor

Onder, Robert F. [R-MO-3]

MO • R

Cosponsors

  • Rep. Spartz, Victoria [R-IN-5]

    IN • R

    Sponsored 7/13/2026

  • Rep. Harshbarger, Diana [R-TN-1]

    TN • R

    Sponsored 8/3/2026

Roll Call Votes

No roll call votes available for this bill.

View on Congress.gov
Back to Legislation