Lets employer groups and self-employed workers offer group health plans across different industries, requires pharmacy benefit managers to report drug pricing and rebates to health plans, and sets aside funds for cost-sharing reduction payments that cannot go to plans covering most abortions.

• Allows employer groups and self-employed individuals to form association health plans across industries, provided the group has existed for at least 2 years and offers coverage to at least 51 employees.
• Requires pharmacy benefit managers and health insurers to report drug spending, rebates, and pharmacy markups to group health plans, with penalties of $10,000 per day for violations.
• Exempts stop-loss insurance bought by self-insured health plans from the legal definition of health insurance coverage, and allows certain health reimbursement arrangements to pair with individual market coverage for plan years beginning after December 31, 2025.
• Appropriates funds for cost-sharing reduction payments beginning January 1, 2027, but bars those funds from going to qualified health plans that cover abortion, except to save the mother's life or in cases of rape or incest.

• Ways and Means Committee (House)
• Education and Workforce Committee (House)
• Energy and Commerce Committee (House)

Health