HR 6703 United States House · 119th Congress

Lower Health Care Premiums for All Americans Act

The Lower Health Care Premiums for All Americans Act (HR 6703) requires large health plans (with at least 100 average participants) and pharmacy benefit managers to submit detailed reports every six months on drug spending, rebates, and out-of-pocket costs. These reports include specific information on drug costs, rebates received, pricing structures, and spending patterns, making this information available to plan sponsors and participants. The bill also establishes new rules for association health plans and health reimbursement arrangements to expand affordable coverage options for workers and self-employed individuals. The primary goal of these reporting requirements is to increase transparency around health care costs, allowing consumers and employers to make more informed decisions about health coverage. The bill does not directly set or reduce premiums but provides data that could inform future premium negotiations and decisions.
Bill status passed 3 of 5 stages cleared
Introduction
Dec 2025
Committee Review
Dec 2025
House Passage
Dec 2025
Senate Passage
President
Introduced Dec 15, 2025 Last action Dec 18, 2025
Floor votes · House Dec 17, 2025

How they voted

216211
Passed · 6 other
Total votes 433
Dec 17, 2025
D Democratic213
210 Nay 3
98% Nay
I Independent1
1 Yea
100% Yea
R Republican219
215 Yea 1 Nay 3
98% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
16
Key actions
4
Committee
3
Dec 17, 2025
Lower · Passed
On passage Passed by the Yeas and Nays: 216 - 211 (Roll no. 349). (text: CR H5956-5966)
lower
Dec 17, 2025
Lower · Passed
Passed/agreed to in House: On passage Passed by the Yeas and Nays: 216 - 211 (Roll no. 349).
lower
Dec 17, 2025
Lower · Passed
Ms. Underwood moved to recommit to the Committee on Energy and Commerce. (text: CR H5977)
lower
Dec 17, 2025
Lower · Passed
Rules Committee Resolution H. Res. 953 Reported to House. Rule provides for consideration of H.R. 6703, H.R. 498 and H.R. 3492. The resolution provides for consideration of H.R. 6703 and H.R. 498 under a closed rule and H.R. 3492 under a structured rule with one hour of general debate and one motion to recommit on each bill.
lower
Dec 15, 2025
Committee
Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
lower
Dec 15, 2025
Introduced
Introduced in House
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Mariannette Miller-Meeks
Mariannette Miller-Meeks
RRepublican
IA
1