POP Act

This bill would make it illegal for one person or company to own or control both a health insurance company and a health care provider paid by Medicare Part B or Medicare Advantage, or a company that manages such a provider. Hospitals, medical equipment suppliers, and pharmacies are excluded. Companies that already own both would have 2 years to sell one of them, and future combinations would have 1 year. Federal agencies and state attorneys general could sue, and courts would order the sale and the return of revenue earned during the violation, with that money used for the affected community. Starting in 2026, Medicare could not contract with or pay Medicare Advantage or Part D plans that have this kind of common ownership.

Full text and official record on Congress.gov

Sponsors

• Jeff Merkley Democrat sponsor
• 2 cosponsors