H.R. 6479: Puerto Rico Affordable Care Act of 2025
This bill, known as the Puerto Rico Affordable Care Act of 2025, proposes several key changes aimed at improving healthcare access and affordability in Puerto Rico. Below is a summary of its main provisions:
Establishment of an Exchange in Puerto Rico
The bill requires the establishment of a health insurance Exchange in Puerto Rico. This means that residents will have a platform to compare and purchase health insurance plans, similar to those available in the U.S. states. The Exchange is expected to be operational starting one year after the bill is enacted.
Application of Health Insurance Market Reforms
It mandates that certain health insurance market reforms, which are part of the Public Health Service Act, be applied to health insurance coverage in Puerto Rico. This provision aims to ensure that insurance plans in Puerto Rico adhere to federal standards that protect consumers, such as prohibiting discrimination based on health status and ensuring coverage for essential health benefits.
Premium Tax Credits for Residents
The bill also modifies the Internal Revenue Code to ensure that residents of Puerto Rico are eligible for premium tax credits when purchasing health insurance. This change treats Puerto Rico residents the same as residents of U.S. states when it comes to qualifying for financial assistance to help reduce the cost of insurance premiums. This provision will also take effect one year after the enactment of the bill.
Overall Impact
These provisions are designed to enhance healthcare access and affordability for Puerto Rican residents by providing them with more options for health coverage, protecting consumers, and making insurance more financially accessible through tax credits.
Relevant Companies
- UNH (UnitedHealth Group Inc.) - As a major health insurance provider, UnitedHealth may be impacted by the establishment of a health insurance Exchange in Puerto Rico, which could increase competition and alter market dynamics in the region.
- ANTM (Anthem, Inc.) - Similar to UnitedHealth, Anthem operates in the health insurance market and may also face changes to their business model and competition levels as a result of this bill.
This is an AI-generated summary of the bill text. There may be mistakes.
Sponsors
2 bill sponsors
Actions
2 actions
| Date | Action |
|---|---|
| Dec. 04, 2025 | Introduced in House |
| Dec. 04, 2025 | Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned. |
Corporate Lobbying
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