HR 2528 United States House · 119th Congress

Association Health Plans Act

This bill allows groups of small businesses or self-employed individuals to form a single health plan that treats all members as one employer for coverage purposes. It directly affects small business associations and self-employed people who can join such groups to access pooled health coverage, provided they meet specific requirements (e.g., 51+ total employees, 2+ years in existence, no health-based discrimination). Key mechanisms include permitting modified community rating for premiums (based on pooled claims) while prohibiting health status-related discrimination in enrollment, premiums, or pre-existing condition coverage. The plan remains subject to federal ERISA rules, and self-employed members must meet defined criteria to participate as both employers and employees.
Bill status in committee 1 of 4 stages cleared
Introduction
Apr 2025
Committee Review
Floor Vote
President
Introduced Apr 1, 2025 Last action Dec 15, 2025
Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
6
Key actions
2
Committee
3
Amendments
1
Dec 15, 2025
Lower · Passed
Reported (Amended) by the Committee on Education and Workforce. H. Rept. 119-409.
lower
Jun 25, 2025
Introduced
Ordered to be Reported (Amended) by the Yeas and Nays: 21 - 15.
lower
Jun 25, 2025
Lower · Passed
Committee Consideration and Mark-up Session Held
lower
Apr 1, 2025
Committee
Referred to the House Committee on Education and Workforce.
lower
Apr 1, 2025
Introduced
Introduced in House
lower
1 primary · 32 co-sponsors

Sponsors