Association Health Plans Act
Congress Proposes Allowing Small Businesses and Freelancers to Join Together for Lower Health Insurance Rates
Stalled
No legislative action in over 90 days.
Legislative Progress
Key Points
- This bill would allow small businesses and self-employed people to join together to buy health insurance as one large group. By forming these associations, small shops and freelancers could get the same types of insurance deals and rules that big corporations currently enjoy.
- To qualify, a group must have at least 51 total workers across all the member businesses and have been in existence for at least two years. This is designed to help local shop owners, independent contractors, and consultants who often find it difficult to afford insurance on their own.
- The policy includes protections for people with health issues. These groups would be strictly banned from turning someone away or charging an individual more money just because they have a pre-existing condition or a history of illness.
- While individuals are protected, the group can look at the general health risk of a specific member business to help set that company's share of the cost. This is intended to keep the plan's pricing stable and fair for all the businesses involved in the group.
- These health plans must be run by a board where at least 75% of the members are the business owners themselves. This ensures that the people actually using the insurance are the ones making the decisions, rather than insurance companies or outside corporations.
Impact Analysis
Personal Impact
How this policy affects specific groups of people
Milestones
Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Sent to a congressional committee for expert review. The committee decides whether this bill moves forward.
Introduced in Senate
The bill was officially filed and given a number. It now enters the legislative queue.
Votes
No votes have been recorded for this legislation yet.
Related News
6 articles
House Passes Health Care Bill Without Extending Enhanced ACA Subsidies
The Republican-led legislation aims to make it easier for small businesses to provide health insurance by loosening restrictions on association health plans. The package also includes 'CHOICE plans' for pre-tax insurance purchases and 'stop-loss' insurance protections for small employers.

Senator's bill could help more small employers use association health plans
Sen. Rand Paul introduced the Association Health Plans Act to help self-employed people and small employers buy coverage. While the bill prohibits discrimination based on health status, some insurers worry the plans could destabilize existing group markets by shifting risk pools.
IC classification, benefits legislation passes House committee
A House committee approved a package including the Association Health Plans Act, intended to give gig workers and sole proprietors the ability to aggregate for health insurance. Proponents argue it provides certainty for independent workers facing 'administrative whiplash' from regulation.
Source Information
Document Type
Congressional Bill
Official Title
Association Health Plans Act
Data Sources
Sponsor
Cosponsors
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