Lower Health Care Premiums for All Americans Act
House Passes Lower Health Care Premiums for All Americans Act to Cut Costs for Small Businesses
Legislative Progress
216–211
Key Points
- Small businesses and self-employed people could join together to buy health insurance as one large group. This gives them the same bargaining power as big companies to get lower monthly premiums. These plans are required to protect people with pre-existing conditions and cannot charge people more based on their health history.
- Employers would have a clear way to give workers tax-free money to buy their own health insurance on the open market. This allows employees to pick the specific plan that fits their family's needs and keep their doctors, rather than being limited to the one plan their boss chooses.
- The policy requires the 'middlemen' who handle prescription drugs to be more transparent about their costs. These companies would have to report exactly how much they receive in rebates and fees from drug makers every six months. This is intended to ensure that savings are passed on to employers and workers instead of being kept as profit.
- Starting in 2027, the government would provide steady funding to help lower-income families pay for out-of-pocket medical costs like deductibles and copays. This money would be restricted so it cannot be used for insurance plans that cover abortion, except in cases of rape, incest, or to save the life of the mother.
- The Labor Department would be given the power to fine companies up to $10,000 a day if they refuse to share required information about drug pricing. This is meant to make sure insurance companies and drug middlemen follow the new transparency rules.
Impact Analysis
Personal Impact
Life & Work
The bill restricts federal cost-sharing reduction payments so they cannot go to any ACA marketplace plan that covers abortion, except in cases of rape, incest, or to save the mother's life. This could lead some insurers to drop abortion coverage from their plans to remain eligible for CSR funding, reducing reproductive health care options for women enrolled in marketplace plans.
Programs
Disabilities
Milestones
Received in the Senate.
The Senate has received the House-passed bill and will decide whether to take it up.
Motion to reconsider laid on the table Agreed to without objection.
On passage Passed by the Yeas and Nays: 216 - 211 (Roll no. 349). (text: CR H5956-5966)
Passed/agreed to in House: On passage Passed by the Yeas and Nays: 216 - 211 (Roll no. 349).
The House of Representatives voted to approve this bill. It now goes to the Senate.
On motion to recommit Failed by the Yeas and Nays: 210 - 218 (Roll no. 348).
Vote Results
2 votesOn Motion to Recommit
Related News
2 articlesRepublican Deal for Vote on Obamacare Subsidies Hits a Snag
The 111-page bill would expand association health plans, fund cost-sharing reduction payments starting in 2027, and require transparency from PBMs. It also codifies rules allowing employers to give tax-free money to workers to buy their own coverage via CHOICE arrangements.
House GOP slaps down ACA subsidies as 'Lower Health Care Premiums Act' moves to Senate
The act contains reforms including new reporting requirements for pharmacy benefit managers (PBMs) and a cost-sharing program. A core feature is support for association health plans, allowing small businesses and individuals to band together to negotiate lower group rates.
Source Information
Document Type
Congressional Bill
Official Title
Lower Health Care Premiums for All Americans Act
Sponsor
Analysis generated by AI. Always verify with official sources.