Bill > HR6575

This bill, called the CommonGround for Affordable Health Care Act, contains several key provisions aimed at improving health insurance affordability and reducing fraud in healthcare exchanges. First, it extends and modifies the enhanced premium tax credit, allowing individuals with household incomes up to 1000% of the poverty line (previously capped at 400%) to receive tax credits for health insurance, and adjusting the percentage of income individuals pay for premiums across different income tiers. Second, the bill introduces stringent measures to prevent fraud in health insurance exchanges, including imposing civil and criminal penalties on agents and brokers who provide incorrect or fraudulent information, establishing a verification process for new enrollments, and creating audit and reporting requirements. Third, the bill modernizes pharmacy benefit manager (PBM) accountability by mandating transparency in drug pricing, requiring detailed annual reports on drug costs and rebates, and limiting PBMs' ability to derive income from sources other than bona fide service fees. Additionally, the bill extends the annual open enrollment period for health insurance exchanges for plan year 2026 and creates an expedited legislative process for future premium tax credit reform bills. The legislation aims to make health insurance more accessible, affordable, and transparent while reducing potential fraud in the healthcare system.

Business and Industry

https://www.congress.gov/bill/119th-congress/house-bill/6575/all-info