Health DATA Act of 2026

This bill changes federal law on employer group health plans (ERISA) so that plans can get full access to their health claims data. A contract between a group health plan and a service provider, such as an insurer, plan administrator, or pharmacy benefit manager, would not count as reasonable unless it gives the plan access to claims data, supporting records, pricing terms, and fees without limits or delays longer than 15 days. Contract terms that block this access would be void. The Secretary of Labor could fine service providers up to $10,000 per day for violations, and providers could not be shielded from these penalties by the plan. Plans and insurers would have to certify each year that they can get this data, and they could not hire a third party to submit that certification.

Full text and official record on Congress.gov

Sponsors

• Robert F. Onder, Jr. Republican sponsor
• 2 cosponsors