Bill · H.R. 9397· House(119-HR-9397)
Premium Transparency Act
- Introduced
- 6/23/2026
- Last activity
- 6/25/2026 — Forwarded by Subcommittee to Full Committee by Voice Vote.
- Sponsored by
- August Pfluger
- Cosponsors
- - 3 - 0
- Introduced
- In Committee
What this bill would do
The Premium Transparency Act aims to increase health insurer accountability by requiring the publication of overhead costs and claim payments. Health insurance issuers and Medicare Advantage organizations must submit and publish specific financial data, such as premium revenue and expenditures, on their public websites. The bill also directs the Secretary of Health and Human Services to include recent insurance information in the comparative data for qualified health plans offered through an Exchange. Additionally, the Secretary is tasked with issuing guidance for providing plan information in a standardized, plain English format. This guidance covers various aspects including premiums, deductibles, and cost-sharing for different types of care.
Yes· 3 of 7
Does this give people more protection from unfair business practices?+5
The bill requires health insurers to publish detailed financial data and costs in a standardized format to increase transparency for consumers.
Does this make what the government does easier for the public to see?+4
The bill mandates the public disclosure of insurer overhead costs and claim payments to increase transparency regarding how health insurance funds are used.
Would people over 65 be better off under this?+3
The bill increases transparency for Medicare Advantage plans, which directly benefits senior citizens using these programs.
The opposite
No question was scored the opposite.
Who it would affect, and how
Potential Positive Impacts for People
-
Increased Transparency of Insurance Costs: Health insurance issuers offering group or individual coverage must publish the percentage of total premium revenue expended on specific categories and the percentage not expended or retained (Section 2, a, 2, A, i-iii).
-
Detailed Financial Insight for Medicare Advantage: Medicare Advantage organizations must publish information regarding total revenue, amounts and percentages expended on incurred claims, and non-claims costs (Section 2, b, 7, A, i-iii).
-
Improved Plan Comparison: For qualified health plans offered through an Exchange, the website will include the most recent information submitted by the health insurance issuer (Section 3).
-
Clearer Information on Plan Benefits: The Secretary will issue guidance to ensure information about benefits and coverage—such as monthly premiums, deductibles, and out-of-pocket limits—is provided in a standardized, plain English format (Section 4, a).
-
Standardized Cost-Sharing Information: The guidance will cover standard cost-sharing amounts for various types of care, including primary care, specialist care, and emergency department care (Section 4, a, 6).
Potential Negative Impacts for People
- No specific negative impacts or burdens are explicitly stated within the provided text.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Demographic And Interest Groups
- Good For Retirees+3Good For Seniors+3Good For Low Income Households+2
- Economy And Finance
- Improves Consumer Protection+5
- Healthcare
- Increases Affordable Care Act Support+3Improves Healthcare Access+2
- Governance And Ideology
- Improves Government Transparency+4
- 7/21/2026
- 2 Cosponsors added.
- 6/25/2026
- Subcommittee Consideration and Mark-up Session Held
- Forwarded by Subcommittee to Full Committee by Voice Vote.
- 6/23/2026
- Referred to the Subcommittee on Health.
- Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- 1 Cosponsor added.
- Introduced in House
Craig GoldmanRepublican · Texas
Nathaniel MoranRepublican · Texas
Robert WittmanRepublican · Virginia