A Republican bill with 1 Republican cosponsor · See the cosponsor
Last activity — Referred to the House Committee on Energy and Commerce.
In committee
Introduced and handed to a committee in the chamber it started in.
The committee holds it, and most bills are never heard from again. A hearing or a committee vote would be news; silence is the usual outcome, and it kills the bill without anyone voting against it.
Its path through Congress
- Introduced
- In Committee
What this bill would do
The proposed legislation is known as the Allergy & Asthma Patient Protection Act of 2026. It amends the Public Health Service Act to set new coverage requirements for private group and individual health plans. Specifically, the bill targets insurance coverage rules regarding allergy and asthma diagnostic testing and allergen immunotherapy. These new insurance mandates are scheduled to take effect for plan years beginning on or after January 1, 2028. The text outlines specific practices that health plans and insurance issuers are prohibited from doing. It also provides clear definitions for clinical terms related to allergy and asthma care.
Yes· 3 of 14
- Scored +7
Does this make health care easier to get in general?
The bill ensures patients have full insurance coverage for comprehensive allergy and asthma diagnostic testing and allergen immunotherapy without arbitrary administrative hurdles.
- Scored +6
Does this give people more protection from unfair business practices?
The bill protects private health insurance consumers by prohibiting arbitrary coverage limits and restrictions on allergy and asthma care.
- Scored +5
Would children be better off under this?
Children suffering from allergies and asthma will benefit from broader and more reliable insurance coverage for diagnostic testing and immunotherapy.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
-
Section 2 (adding new Section 2730(a)(2)(A)) stops health plans and insurance issuers from limiting the number of allergens that can be tested for an individual, provided the testing follows recognized clinical standards. This is beneficial because patients can receive thorough diagnostic testing without arbitrary caps imposed by insurers.
-
Section 2 (adding new Section 2730(a)(2)(B) and (D)) prohibits health plans from denying coverage for diagnostic testing simply because it happened on the same day as an evaluation and management service, or because both skin and serum testing were ordered. This helps people get comprehensive testing during a single doctor's visit without fear of unexpected insurance denials.
-
Section 2 (adding new Section 2730(b)(1)(B)) requires plans that cover allergen immunotherapy to cover extract preparation and all medically necessary components—such as the buildup phase, dose adjustments, and specific concentrations—regardless of the number of vials or diluents used. This ensures that patients undergoing customized allergy treatments receive full insurance support for their necessary care.
-
Section 2 (adding new Section 2730(b)(2)(A) and (B)) prevents insurers from imposing volume-based reimbursement caps, medically unlikely edit limits, single date of service requirements, or predetermined aliquot sizes that do not match clinical standards. This protects individuals from arbitrary administrative rules that could restrict their access to prescribed immunotherapy treatments.
Potential Negative Impacts for People
- The provided text does not contain any provisions that create negative consequences or burdens for individuals or groups of people in the United States.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Tap or hover a score for the reason it gave.
- Demographic And Interest Groups
- Would children be better off under this? — Children suffering from allergies and asthma will benefit from broader and more reliable insurance coverage for diagnostic testing and immunotherapy. Would households on low incomes be better off under this? — Low-income individuals relying on private or group health insurance plans will be protected from unexpected out-of-pocket costs for necessary allergy and asthma care. Would people in middle age be better off under this? — Middle-aged individuals with private health plans will have better access to comprehensive allergy and asthma care without arbitrary insurer limits. Would middle-income households be better off under this? — Middle-class households with private insurance will benefit from clearer and more comprehensive coverage mandates for allergy treatments. Would people with disabilities be better off under this? — Individuals dealing with chronic respiratory conditions like severe asthma will have stronger protections against insurer restrictions. Would people in their twenties and thirties be better off under this? — Young adults with private health insurance will gain improved coverage protections for necessary allergy and asthma treatments. Would men be better off under this? — Men covered by group or individual health plans will experience improved access and fewer coverage denials for allergy and asthma services. Would people over 65 be better off under this? — Seniors with private or group health insurance coverage will be protected against coverage restrictions for allergy and asthma services. Would students be better off under this? — Students covered under family or individual health plans will benefit from robust coverage mandates for allergy and asthma diagnostics. Would women be better off under this? — Women covered by group or individual health plans will experience improved access and fewer coverage denials for allergy and asthma services.
- Healthcare
- Does this make health care easier to get in general? — The bill ensures patients have full insurance coverage for comprehensive allergy and asthma diagnostic testing and allergen immunotherapy without arbitrary administrative hurdles. Does this strengthen the Affordable Care Act? — The bill amends the Public Health Service Act to mandate specific coverage standards for individual and group health plans.
- Economy And Finance
- Does this give people more protection from unfair business practices? — The bill protects private health insurance consumers by prohibiting arbitrary coverage limits and restrictions on allergy and asthma care.
- Governance And Ideology
- Does this give the federal government more power? — The legislation establishes new federal regulatory mandates on group and individual health insurance plans.
- 11/12/2026
- Referred to the House Committee on Energy and Commerce.
- 1 Cosponsor added.
- Introduced in House
Don BaconRepublican · Nebraska