Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Education and Workforce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
H.R. 6501 makes health insurance more affordable and prevents fraud in the marketplace through several interconnected changes. The bill extends enhanced premium tax credits through 2027, capping monthly premiums at just $5 for low-income households and expanding eligibility to those earning up to 700% of the poverty line (up from the current 400% threshold). To combat fraud, the bill establishes new penalties for agents and brokers providing false enrollment information, requires verification processes by 2029, and creates accountability measures like checking death records quarterly and distributing lists of suspended agents to insurers. The legislation also overhauls pharmacy benefit manager oversight by requiring transparency in rebate handling, independent audits, and full pass-through of manufacturer rebates to health plans within 90 days, with $134 million appropriated for implementation. Additionally, starting in 2027, exchanges must clearly inform individuals of their premium tax credits before enrollment, and individuals gain new payment options including $5 monthly prepayment plans or directing half their tax credits to Health Savings Accounts.
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