Health insurers must now disclose how often they deny your claims
H.R. 9754 — Health Claim Denial Transparency Act · Filed by Lucy McBath (D-GA) · Introduced Jul 16, 2026 · Referred to committee
Your members of Congress
Enter a ZIP to see where your representative and both senators stood on this bill.
Looked up on this device — your ZIP is never stored on our servers.
What it does
This bill requires health insurance plans to publicly report detailed data on claim denials—including total claims submitted, approved, and denied; denial reasons; appeal outcomes; and AI-assisted decisions—in their annual filings with the Department of Labor. Small plans (under 20 claims in a category) and plans with fewer than 100 participants get limited exemptions, but must still report core denial metrics. The goal is transparency: workers and regulators can see how often plans deny coverage and why.
Why we flagged it
The bill's core mechanism is a regulatory disclosure requirement—plans must report claim denial data to the Department of Labor annually. It is a transparency and accountability measure, not a coverage expansion or cost control, though it enables both by exposing denial patterns.
What the text implies
- Disclosure of AI/automated decision-making in claims processing may expose algorithmic bias in denial patterns, creating pressure for algorithmic audits and potentially triggering separate regulatory scrutiny.
- Detailed denial-reason breakdowns (medical necessity, prior authorization, etc.) may reveal systematic use of administrative barriers to reduce payouts, enabling class-action litigation or regulatory enforcement.
The full analysis lists 4 implications of this text.
Who it affects
Ordinary people gain visibility into how their health plans deny claims and can use that data to challenge denials, compare plans, and hold insurers accountable. The reporting requirement imposes compliance costs on insurers but creates no new barriers to coverage or appeals—it only mandates disclosure of data plans already track.