H.R. 9397 · In committee · Health

Premium Transparency Act

Sponsor: August Pfluger (R-TX)

What it does

• Requires health insurers offering group or individual coverage to publish overhead costs, claim payments, and retained revenue by plan year 2027, in a consumer-friendly format specified by the Secretary.
• Directs Medicare Advantage organizations to submit and publish total revenue, incurred claims, non-claims costs, and medical loss ratio information for each MA plan beginning plan year 2027.
• Amends exchange requirements to include comparative overhead and claims payment information for qualified health plans beginning plan year 2029.
• Directs the Secretary of Health and Human Services to issue guidance by January 1, 2028 on standardized, plain English formats for plan information including premiums, deductibles, cost-sharing, provider networks, and coverage details.

Latest action

Jun 25, 2026: Forwarded by Subcommittee to Full Committee by Voice Vote.

Committee: House Health Subcommittee