Legis Daily

Patient Choice and Access Act of 2026

USA119th CongressHR-9107| House 
| Updated: 6/2/2026
Michael A. Rulli

Michael A. Rulli

Republican Representative

Ohio

Cosponsors (3)
Aaron Bean (Republican)H. Morgan Griffith (Republican)Troy Balderson (Republican)

Energy and Commerce Committee

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted
This bill, titled the "Patient Choice and Access Act of 2026," amends the Patient Protection and Affordable Care Act to remove the mandate for qualified health plans (QHPs) to maintain a provider network. Specifically, for plan years beginning on or after January 1, 2027, the Secretary of Health and Human Services would be prohibited from requiring QHPs to have a network or from denying their certification to participate in an Exchange solely due to the absence of a network. To ensure consumer protection, the bill establishes new transparency requirements for QHPs that opt not to maintain a provider network. These plans must provide enrollees and potential enrollees with clear, plain language information regarding expected out-of-pocket costs and the potential for balance billing . Additionally, such plans would be required to offer adequate customer service or online resources to assist individuals in finding providers who accept the plan's benefit amounts as full payment for services.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline
Jun 2, 2026
Introduced in House
Jun 2, 2026
Referred to the House Committee on Energy and Commerce.
  • June 2, 2026
    Introduced in House


  • June 2, 2026
    Referred to the House Committee on Energy and Commerce.

Health

Patient Choice and Access Act of 2026

USA119th CongressHR-9107| House 
| Updated: 6/2/2026
This bill, titled the "Patient Choice and Access Act of 2026," amends the Patient Protection and Affordable Care Act to remove the mandate for qualified health plans (QHPs) to maintain a provider network. Specifically, for plan years beginning on or after January 1, 2027, the Secretary of Health and Human Services would be prohibited from requiring QHPs to have a network or from denying their certification to participate in an Exchange solely due to the absence of a network. To ensure consumer protection, the bill establishes new transparency requirements for QHPs that opt not to maintain a provider network. These plans must provide enrollees and potential enrollees with clear, plain language information regarding expected out-of-pocket costs and the potential for balance billing . Additionally, such plans would be required to offer adequate customer service or online resources to assist individuals in finding providers who accept the plan's benefit amounts as full payment for services.
View Full Text

Suggested Questions

Get AI-generated questions to help you understand this bill better

Timeline
Jun 2, 2026
Introduced in House
Jun 2, 2026
Referred to the House Committee on Energy and Commerce.
  • June 2, 2026
    Introduced in House


  • June 2, 2026
    Referred to the House Committee on Energy and Commerce.
Michael A. Rulli

Michael A. Rulli

Republican Representative

Ohio

Cosponsors (3)
Aaron Bean (Republican)H. Morgan Griffith (Republican)Troy Balderson (Republican)

Energy and Commerce Committee

Health

  • Introduced
  • In Committee
  • On Floor
  • Passed Chamber
  • Enacted