Insurers must reveal what cut of your premiums they keep as profit

What it does

This bill requires health insurers and Medicare Advantage plans to publicly disclose what percentage of premium dollars they spend on actual medical claims versus overhead and profit, starting in 2027. It also mandates that insurers publish standardized, plain-language summaries of plan benefits (deductibles, copays, networks, etc.) so consumers can easily compare plans before enrollment.

Why we flagged it

The bill's core function is mandating public disclosure of insurer financial metrics (claims spending, overhead, profit margins) and standardized benefit summaries. It is fundamentally a transparency and consumer-protection measure, not a subsidy, deregulation, or narrow carve-out.

What the text implies

• Disclosure of overhead and profit margins may expose wide variation in insurer efficiency, potentially triggering regulatory or legislative pressure to cap overhead ratios or enforce minimum medical loss ratios (MLRs) more aggressively.
• Standardized benefit comparison tools (Section 3) may accelerate consumer switching between plans, increasing competitive pressure on insurers with high overhead or narrow networks.
• Requirement to publish data at both plan and aggregate levels may reveal disparities in pricing or coverage across geographic markets, potentially inviting state-level or federal intervention.
• Plain-language guidance (Section 4) may expose how opaque current plan documents are, creating political momentum for further simplification or regulation of insurance marketing.

Who it affects

Ordinary consumers gain direct transparency into how much of their premiums fund actual care versus insurer overhead and profit, enabling better plan comparison and informed choice. This reduces information asymmetry that has historically favored insurers and may create competitive pressure to lower overhead costs.

Who stands to gain

• consumers (via lower search/comparison costs and potential competitive pressure on premiums)
• health plan brokers and comparison platforms (increased demand for plan analysis tools)

Named in the bill

Health and Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Medicare Advantage organizations, Health insurance issuers, Affordable Care Act (ACA) Exchanges, Department of Labor (DOL), Department of Treasury (Treasury)

Where it stands

3 cosponsors: 3 Republicans.

• Jun 23, 2026 — Introduced · Congress.gov: “Introduced in House”
• Jun 23, 2026 — Referred to House Committee on Ways and Means and House Committee on Energy and Commerce · Congress.gov: “Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a…”
• Jun 25, 2026 — Markup held in committee · Congress.gov: “Subcommittee Consideration and Mark-up Session Held”

Dates and quoted wording are Congress.gov's action record; the timeline shows status changes, not every procedural step.

Money around this bill

2 lobbying clients named this bill on 2 disclosure filings across 1 quarter, Jun 2026 to Jun 2026. Those filings disclosed $1,290,000 in lobbying spend. A filing names 34 bills on average, so that figure is what each filing reported, not a share belonging to this bill.

More lobbying clients named this bill than 41% of bills with at least one filing.

August Pfluger, the sponsor, reported $1,070,325 in PAC receipts in the 2026 cycle.

• Cambia Health Solutions — $700,000 on 1 filing
• Blood Cancer United (fka the Leukemia & Lymphoma Society) — $590,000 on 1 filing

Lobbying Disclosure Act filings through Jul 20, 2026. A filing shows who paid to lobby on a bill it names, not what changed.