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

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

Sec. 404. Lowering safe harbor threshold with respect to State taxes on health care providers

Section 1903(w)(4)(C)(ii) of the Social Security Act (42 U.S.C. 1396b(w)(4)(C)(ii)) is amended—

(1) by striking of fiscal years beginning and inserting

Text this section adds to the law

of fiscal years—

(I) beginning

; and

(2) by striking it appears. and inserting the following:

Text this section adds to the law

it appears;

(II) beginning on or after January 1, 2027, and before January 1, 2036, 4 percent shall be substituted for 6 percent each place it appears;

(III) beginning on or after January 1, 2036, and before January 1, 2041, 3 percent shall be substituted for 6 percent each place it appears;

(IV) beginning on or after January 1, 2041, and before January 1, 2046, 2 percent shall be substituted for 6 percent each place it appears;

(V) beginning on or after January 1, 2046, and before January 1, 2051, 1 percent shall be substituted for 6 percent each place it appears; and

(VI) beginning on or after January 1, 2051, 0 percent shall be substituted for 6 percent each place it appears.

B Medicare Reforms

C Medicare Choice and Competition

D Telehealth Improvements and Expansion