What does Preamble of Care Over Profits Act of 2026 do?

This bill proposes amendments to title XXVII of the Public Health Service Act and the Patient Protection and Affordable Care Act. The stated purpose of the bill is to provide for certain reforms with respect to medical loss ratios. The bill also aims to reduce fraudulent enrollment in qualified health plans.

What does SHORT TITLE. of Care Over Profits Act of 2026 do?

This bill is formally titled the Care Over Profits Act of 2026

What does INCREASING MEDICAL LOSS RATIO FOR HEALTH INSURANCE COVERAGE of Care Over Profits Act of 2026 do?

This section amends Section 2718(b)(1)(A)(ii) of the Public Health Service Act. The amendment changes the medical loss ratio requirement from 80% to 85%. The changes apply to plan years beginning on or after January 1, 2026. The amendment applies to health insurance coverage offered in small group and individual markets.

What does IMPOSING PENALTIES ON AGENTS AND BROKERS FOR CERTAIN VIOLATIONS of Care Over Profits Act of 2026 do?

This section amends the Patient Protection and Affordable Care Act to impose penalties on agents and brokers for certain violations related to enrollment in a qualified health plan offered through an Exchange. Civil penalties of $10,000 to $50,000 may be imposed on agents or brokers who fail to provide correct information due to negligence or disregard of rules and regulations. Civil monetary penalties of up to $200,000 may be imposed on agents or brokers who knowingly and willfully provide false or fraudulent information. Criminal penalties, including fines and imprisonment of up to 10 years, may be imposed on agents or brokers who knowingly and willfully provide false or fraudulent information. The amendments made by this section apply to applications for enrollment in a qualified health plan offered through an Exchange for plan years beginning on or after January 1, 2027.

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Care Over Profits Act of 2026

Last updated: 3/9/2026 · Introduced: 3/9/2026

Author: Tom Barrett (R-MI)

TL;DR (AI)

The bill increases the medical loss ratio requirement for health insurance coverage from 80% to 85% for plan years beginning on or after January 1, 2026.
The bill imposes civil and criminal penalties on agents and brokers who provide false or fraudulent information related to enrollment in a qualified health plan offered through an Exchange.
The bill aims to reduce fraudulent enrollment in qualified health plans by imposing penalties on those who violate rules and regulations related to enrollment.

119th Congressin committeeOfficial page

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Other Sections

Includes provisions on preamble, short title., and 2 more.

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