H.R. 8840

Fair Care Act of 2026

Sponsor: Bruce Westerman · 0 cosponsors

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I Modernization of health savings accounts

A Modernization of health savings accounts and contributions

B Assistance to health savings accounts

II Improving Private Health Insurance

A Maintaining Protections for Patients with Preexisting Conditions

B Expanding Coverage Options

C Improving Commercial Health Insurance

Sec. 231. Enrollment periods

(a) Exchanges. Paragraph (7) of section 1311(c) of the Patient Protection and Affordable Care Act (42 U.S.C. 18031(c)), as added by section 106, is amended by adding at the end the following new subparagraph:

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(B) Enrollments other than during initial, open, and special enrollment periods. Beginning with plan year 2026, an Exchange may provide for enrollments during periods in addition to open enrollment periods described in subparagraph (A) or paragraph (6) and special enrollment periods described in paragraph (6).

(b) Health plans. Subpart I of part A of title XXVII of the Public Health Service Act is amended by adding at the end the following new section:

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2710. Enrollment outside of initial, open, and special enrollment period. Beginning with plan year 2026, a group health plan and a health insurance issuer offering group or individual health insurance coverage may provide for enrollment in such plan or coverage during periods in addition to initial, open, or special enrollment periods. In the case that an individual enrolls in such plan or coverage during a period pursuant to the previous sentence, the plan or issuer may charge the individual a one-time enrollment fee.

III Competition, Transparency and Accountability

A Provider and Insurer Competition

B Price Transparency

C Prescription Drug Competition and Innovation

D Prescription Drug and Pharmacy Benefit Manager Transparency

E Medicare and Medicaid Prescription Drug Reforms

F Medical Malpractice Reform

IV Medicare and Medicaid Reforms

A Medicaid Reforms

B Medicare Reforms

C Medicare Choice and Competition

D Telehealth Improvements and Expansion