S4027119th CongressWALLET

Healthy Competition for Better Care Act

Sponsored By: Senator Husted, Jon [R-OH]

Introduced

Summary

Stops anticompetitive contract terms that block patients from being steered to lower-cost or higher-quality providers. This bill would create a uniform federal rule across the Public Health Service Act, the Employee Retirement Income Security Act, and the Internal Revenue Code to ban contract clauses that limit steering, require affiliate-only deals, or impose payment terms on non-party affiliates.

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Bill Overview

Analyzed Economic Effects

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

New rules for health plan contracts

This bill would ban many contract clauses that stop health plans and insurers from steering patients or offering incentives to use lower-cost, higher-quality providers. It would also bar clauses that force plans to sign affiliate agreements or that stop other plans from paying lower rates. The ban would apply to contracts entered into, amended, or renewed 18 months after enactment. States could exempt specified older agreements signed June 19, 2019, and related contracts signed by December 31, 2020, for up to 10 years if the State finds they are unlikely to lessen competition. The bill would preserve some HMOs and value‑based network arrangements as exceptions and would require HHS, Labor, and Treasury to write implementing rules within one year.

Sponsors & CoSponsors

Sponsor

Husted, Jon [R-OH]

OH • R

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

No roll call votes available for this bill.

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