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Proposed

Bill · 119th Congress · S 3434

Health Coverage Across State Lines Act

Refreshed 3 h ago

Introduced 2025-12-11Topic: health care · governance ethics

Summary

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This bill would let a health insurance company pick one "primary" state whose insurance laws govern its individual health plans, and then sell those plans in other "secondary" states without following most of those other states' insurance laws. Secondary states could still collect taxes, enforce laws on fraud and unfair claims handling, require financial exams in some cases, and require local licensing of agents. Insurers would have to print a notice on these policies saying the plan is not subject to all of the buyer's home-state laws, including some required benefits and consumer protections. The bill would bar raising an individual's premium at renewal based on health status, require an independent appeals process for denied claims, and take effect for coverage sold starting one year after enactment. The Government Accountability Office would study its effects and report to Congress each year for five years.

Full text and official record on Congress.gov

Sponsors

Action history

DateChamberActionStatus effect
2025-12-11SenateRead twice and referred to the Committee on Health, Education, Labor, and Pensions.refer
2025-12-11Introduced in Senateintroduce
Source: GovInfo Bill Status (Library of Congress), fetched 2026-09-11. Provisions and opinion polling arrive in a later release.