Rep. Barrett Introduces Care Over Profits Act to Raise Insurance Payouts and Curb Fraud
This bill is sitting in the House Committee on Energy and Commerce where it must be reviewed before it can move forward. No action has been taken on this bill since March 8, 2026. Because it has not moved in four months, the bill is considered stalled.
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 health insurance through the small group market would see their insurers required to spend at least 85% of premiums on medical care, up from 80%. This means more of the money small employers pay for employee coverage goes toward actual healthcare, and they could receive larger rebates if their insurer doesn't meet the threshold.
Referred to the House Committee on Energy and Commerce.
Introduced in House
The bill was officially filed and given a number. It now enters the legislative queue.
U.S. Rep. Josh Riley (NY-19) announced he is co-leading the bipartisan Care Over Profits Act (H.R. 7861) to force health insurance companies to spend at least 85% of premium revenue on actual care and impose penalties on fraudulent ACA marketplace enrollments.
The managed care sector is under scrutiny as the bipartisan 'Care Over Profits Act' seeks to raise Medical Loss Ratios to 85%, potentially squeezing insurer margins further amid rising medical costs and regulatory headwinds from the Trump administration.
Managed care stocks including Oscar Health and Centene fell as investors reacted to the 'Care Over Profits Act,' which would raise Medical Loss Ratio requirements to 85%, squeezing margins for insurers already battling high medical cost inflation.
No votes or related bills recorded for this bill yet.
Document Type
Congressional Bill
Official Title
Care Over Profits Act of 2026
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