H.R. 6575: CommonGround for Affordable Health Care Act
The "CommonGround for Affordable Health Care Act" is designed to make healthcare more accessible and affordable through several key amendments to existing laws. The bill primarily focuses on two areas: premium tax credits and regulations governing pharmacy benefit managers (PBMs).
Premium Tax Credits
The bill extends premium tax credits to make health insurance more affordable for individuals and families. This extension aims to ensure that more people can afford to obtain health insurance coverage through the marketplaces established by the Affordable Care Act (ACA). The measure also includes enhanced provisions to deter fraud in healthcare enrollment, which involves penalties for agents and brokers participating in fraudulent activities.
Pharmacy Benefit Managers Regulations
The bill introduces new disclosure requirements for pharmacy benefit managers. These requirements include:
- Providing cost-sharing estimates for prescription drugs, allowing patients to better understand their financial responsibilities.
- Disclosing contracts with drug manufacturers, promoting transparency regarding pricing agreements.
- Establishing audit rights to ensure compliance and accountability among PBMs.
Additionally, the bill promotes compliance certifications for PBMs, ensuring they meet certain standards. It also allows for expedited consideration of reforms related to premium tax credits, streamlining the process for making necessary updates in the future.
Enforcement and Compliance
By emphasizing the importance of honesty in healthcare and insurance enrollment, the legislation seeks to bolster trust in the system. The defined penalties for fraud aim to protect consumers and ensure that individuals are treated fairly when seeking coverage.
Goals of the Bill
The overarching goals of the "CommonGround for Affordable Health Care Act" are to:
- Enhance access to affordable health insurance by extending premium tax credits.
- Increase transparency in the prescription drug market through required disclosures from pharmacy benefit managers.
- Reduce fraudulent activities in healthcare enrollment by imposing penalties for misconduct.
Impact on Healthcare System
Overall, the bill seeks to improve the healthcare system by ensuring affordability, transparency, and integrity. By addressing these key components, the "CommonGround for Affordable Health Care Act" aims to create a more equitable health insurance landscape for Americans.
Relevant Companies
- UNH - UnitedHealth Group Incorporated: As a large health insurance provider, UnitedHealth could be impacted by changes in premium tax credits which may influence enrollment levels and their customer base.
- ANTM - Anthem, Inc.: As a major insurer, Anthem may be affected by the extended premium tax credits, potentially leading to changes in their enrollment figures and premium revenue.
- CVS - CVS Health Corporation: CVS, which operates in both insurance and pharmacy benefits management, could see significant impacts from mandated disclosures and compliance requirements for pharmacy benefit managers.
This is an AI-generated summary of the bill text. There may be mistakes.
Sponsors
39 bill sponsors
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TrackJennifer Kiggans
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TrackDon Bacon
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TrackRobert Bresnahan
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TrackEd Case
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TrackJuan Ciscomani
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TrackJim Costa
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TrackHenry Cuellar
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TrackDonald G. Davis
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TrackMonica De La Cruz
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TrackShomari Figures
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TrackBrian K. Fitzpatrick
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TrackCarlos A. Gimenez
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TrackJared F. Golden
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TrackVicente Gonzalez
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TrackMaggie Goodlander
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TrackJosh Gottheimer
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TrackAdam Gray
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TrackJeff Hurd
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TrackThomas H. Kean, Jr.
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TrackKevin Kiley
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TrackNick LaLota
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TrackGreg Landsman
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TrackMichael Lawler
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TrackSusie Lee
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TrackSam Liccardo
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TrackRyan Mackenzie
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TrackJared Moskowitz
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TrackJimmy Panetta
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TrackChris Pappas
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TrackMarie Gluesenkamp Perez
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TrackScott H. Peters
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TrackJosh Riley
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TrackMaria Elvira Salazar
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TrackHillary J. Scholten
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TrackDarren Soto
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TrackThomas R. Suozzi
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TrackDavid G. Valadao
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TrackJefferson Van Drew
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TrackFrederica S. Wilson
Co-Sponsor
Actions
2 actions
| Date | Action |
|---|---|
| Dec. 10, 2025 | Introduced in House |
| Dec. 10, 2025 | Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Rules, 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
1 company lobbying
