Sen. Paul Introduces Health Marketplace for All Act to Expand Group Insurance Pools
The Health Marketplace for All Act of 2025 is currently in the early stages of the legislative process. It was recently introduced in the Senate and sent to the Committee on Health, Education, Labor, and Pensions for review. The bill is actively moving, but there are no upcoming votes or hearings scheduled at this time.
This policy reflects a long-standing partisan divide over health insurance markets. Without significant support from the majority party, it is unlikely to move past the committee stage.
This bill’s path across every version that has carried it.
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
Many farmers and ranchers are self-employed or run small family operations without access to affordable group health insurance. Farm bureaus and agricultural cooperatives could form health marketplace pools, giving rural workers and their families access to group rates and broader plan options that are currently out of reach.
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.
Senator Rand Paul advocates for the Health Marketplace for All Act, proposing that membership organizations like Costco or Amazon Prime be allowed to offer health insurance. He argues this creates large buying pools that lower costs for individuals and small businesses without government aid.
The legislation seeks to classify any organization forming a 'health marketplace pool' as an employer under ERISA. This allows them to offer self-insured, multi-state health plans that are exempt from various state mandates, while prohibiting discrimination based on pre-existing conditions.
Senator Rand Paul introduced the Health Marketplace for All Act to allow membership organizations—including churches and credit unions—to offer health plans across state lines. The bill aims to provide the self-employed and small businesses with the same leverage as large corporations.
No votes recorded for this bill yet.
Document Type
Congressional Bill
Official Title
Health Marketplace for All Act of 2025
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