US Congress · 119th Congress (2025-2026)

HR 6703Passed Origin Chamber

Lower Health Care Premiums for All Americans Act

Source of recordUS Congress · congress.govLast synced Jul 9, 2026

Chamber

House

Progress

Where this bill stands in the legislative process.

Introduced
Passed House
Passed Senate
To President
Became Law

Overview

The Lower Health Care Premiums for All Americans Act aims to increase access to affordable health insurance by modifying rules related to association health plans and pharmacy benefit management services. Specifically, it allows for the formation of association health plans under the Employee Retirement Income Security Act (ERISA) with certain requirements, and it introduces oversight of pharmacy benefit management services to ensure transparency and prevent restrictions on information disclosure. The bill also addresses health reimbursement arrangements and provides clarity on coverage for self-employed individuals.

Key provisions

Allows association health plans to be established under ERISA with specific requirements regarding governance, membership, and eligibility.
Introduces oversight of pharmacy benefit management services to ensure transparency and prevent restrictions on information disclosure to group health plans.
Modifies rules regarding health reimbursement arrangements to treat them as meeting certain requirements under the Internal Revenue Code.
Clarifies the definition of ‘self-employed individual’ for purposes of association health plans.
Addresses coverage for self-employed individuals participating in group health plans.
Permits certain medical stop-loss insurance to be included in health reimbursement arrangements.
Establishes a standard reporting format for pharmacy benefit management services.
Provides for greater transparency regarding rebates and fees paid by pharmacy benefit management services.

Bill text

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Dec 15, 2025XMLView source

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Legislative history

19 recorded actions · showing the most recent 12

Dec 17, 2025

Passed/agreed to in House: On passage Passed by the Yeas and Nays: 216 - 211 (Roll no. 349).

Dec 17, 2025House

On motion to recommit Failed by the Yeas and Nays: 210 - 218 (Roll no. 348).

Dec 17, 2025House

Considered as unfinished business. (consideration: CR H6006-6008)

Dec 17, 2025House

POSTPONED PROCEEDINGS - At the conclusion of debate on H.R. 6703, the Chair put the question on motion to recommit and by voice vote, announced the noes had prevailed. Ms. Underwood demanded the yeas and nays and the Chair postponed further proceedings until a time to be announced.

Dec 17, 2025House

The previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX.

Dec 17, 2025House

Ms. Underwood moved to recommit to the Committee on Energy and Commerce. (text: CR H5977)

Dec 17, 2025House

The previous question was ordered pursuant to the rule.

Dec 17, 2025House

DEBATE - The House proceeded with one hour of debate on H.R. 6703.

Dec 17, 2025House

Rule provides for consideration of H.R. 6703, H.R. 498 and H.R. 3492. The resolution provides for consideration of H.R. 6703 and H.R. 498 under a closed rule and H.R. 3492 under a structured rule with one hour of general debate and one motion to recommit on each bill.

Dec 17, 2025House

Considered under the provisions of rule H. Res. 953. (consideration: CR H5956-5977)

Dec 17, 2025House

Rules Committee Resolution H. Res. 953 Reported to House. Rule provides for consideration of H.R. 6703, H.R. 498 and H.R. 3492. The resolution provides for consideration of H.R. 6703 and H.R. 498 under a closed rule and H.R. 3492 under a structured rule with one hour of general debate and one motion to recommit on each bill.

Dec 18, 2025Senate

Received in the Senate.

Votes

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Recorded roll calls

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Lower Health Care Premiums for All Americans Act

Progress

Overview

Key provisions

Bill text

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Legislative history

Votes

Vote map

Floor votes and chamber actions

Recorded roll calls

Geography

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Who is affected

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Legislative history

Votes

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Floor votes and chamber actions

Recorded roll calls