Health Insurance: Disclosure of Coverage Denials
To amend title XXVII of the Public Health Service Act and title XVIII of the Social Security Act to require health insurance issuers and MA organizations to make publicly available certain information with respect to coverage request rejection.
A house committee must act next: committee consideration.
While transparency is popular, bills introduced by a single member often face uphill battles without broad bipartisan co-sponsorship or leadership backing.
Scores run from -100 (strongly harmful) to +100 (strongly beneficial) for each group, combining impact, certainty, scope, and duration ratings of 1-5. How impact scoring works
Small businesses that buy group health coverage for employees would gain access to insurer-specific denial and appeal data, helping them choose a plan less likely to leave workers stuck fighting rejected claims. The effect is indirect since the disclosure duty falls on insurers, not employers.
“A health insurance issuer offering group or individual health insurance coverage for a plan year shall”
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.
Sent to a congressional committee for expert review. The committee decides whether this bill moves forward.
Introduced in House
The bill was officially filed and given a number. It now enters the legislative queue.
The House Energy & Commerce Committee approved the Lower Costs, More Transparency Act of 2026, which includes the Health Insurance Transparency for Patients Act. The bill requires insurers to post data on prior authorization programs, including approval/denial rates and the use of AI systems.
The Prior Authorization Accountability Act (H.R. 9396) would require commercial insurers to publicly report approval and denial rates, appeal outcomes, and their use of artificial intelligence in prior authorization determinations, addressing concerns over automated medical claim rejections.
Rep. Lucy McBath's Health Claim Denial Transparency Act, part of a broader transparency package, would force health plans to disclose annual claim denial rates and specify whether artificial intelligence was used in the decision-making process for medical necessity determinations.
No votes or related bills recorded for this bill yet.
Document Type
Congressional Bill
Official Title
To amend title XXVII of the Public Health Service Act and title XVIII of the Social Security Act to require health insurance issuers and MA organizations to make publicly available certain information with respect to coverage request rejection.
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