Bill > S2582

This bill aims to make health insurance more affordable and accessible for consumers. The key provisions include: 1. Increasing the medical loss ratio (the percentage of premium dollars that must be spent on medical care) from 80% to 85%, thereby limiting insurer profits and preventing unreasonable premium increases. 2. Enhancing premium assistance tax credits, expanding eligibility, and changing the benchmark plan to a gold-level plan to make coverage more affordable. 3. Reducing cost-sharing for eligible individuals with lower incomes, requiring plans to further reduce cost-sharing to increase the plan's share of total allowed costs. 4. Capping prescription drug cost-sharing at $250 per month per individual or $500 per family. 5. Establishing standardized plan options in the bronze, silver, and gold levels of coverage on the Exchanges to improve consumer choice and understanding. 6. Strengthening network adequacy requirements and consumer protections, such as prohibiting balance billing for emergency services and requiring notification of provider terminations. 7. Providing marketing and outreach funding for Exchanges operated by the federal government and enhancing the Navigator program. 8. Prohibiting discriminatory premiums based on tobacco use and strengthening consumer health insurance information and protections. Overall, the bill aims to make health insurance more affordable, accessible, and consumer-friendly.

Budget and Finance

https://www.congress.gov/bill/115th-congress/senate-bill/2582/all-info