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HR 90119th CongressIn Committee

Health Coverage Choice Act

Introduced: Jan 3, 2025
Standard Summary
Comprehensive overview in 1-2 paragraphs

The Health Coverage Choice Act would create a federal definition for short-term limited duration insurance (STLDI) as part of the Public Health Service Act. Specifically, it defines STLDI as health coverage under a contract with an expiration date that is less than 12 months after the original effective date, and a total duration (including renewals or extensions) not exceeding 3 years from the original effective date. In short, the bill would establish a clear federal standard for how long STLDI can last, including how renewals count toward an overall 3-year limit. The bill’s text only establishes this definition; it does not specify additional benefits, subsidies, or consumer protections, nor does it address how STLDI would interact with ACA requirements. The sponsor is Mr. Biggs (R-AZ), and the bill was introduced in the House and referred to the Committee on Energy and Commerce.

Key Points

  • 1Adds a new federal definition of short-term limited duration insurance (STLDI) to the Public Health Service Act.
  • 2An STLDI contract must have an expiration date less than 12 months after the original effective date.
  • 3The total duration of the STLDI, including any renewals or extensions, cannot exceed 3 years from the original effective date.
  • 4The definition specifies measurement based on the contract’s original effective date, not on each renewal.
  • 5The bill focuses on definitional language and does not amend benefits, subsidies, or consumer protections beyond classification.

Impact Areas

Primary group/area affected: Individuals seeking short-term, low-cost health coverage and health insurers offering STLDI products. States that regulate insurance may also be affected insofar as federal definitions guide or interact with state rules.Secondary group/area affected: Employers and plans that use STLDI as a bridging option for employees or dependents; policymakers and regulatory agencies interpreting and applying the STLDI category.Additional impacts: Could influence enrollment choices away from ACA-compliant plans if STLDIs are viewed as more affordable, potentially affecting risk pools and premium dynamics. The bill does not modify essential health benefits requirements, subsidies/adv subsidies, or protections for people with preexisting conditions within the ACA framework.
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