Bipartisan Health Insurance Affordability Act

This bill would extend enhanced premium tax credits for individuals purchasing health insurance through the Affordable Care Act exchanges. These credits, which were set to expire at the end of 2025, help lower monthly insurance premiums for eligible Americans. The bill would extend these credits for two additional years and modify how they work, including setting an income cap at 700% of the Federal Poverty Level (approximately $109,000 for individuals and $225,000 for families of four).

The legislation also includes several other provisions aimed at improving the health insurance system. It would extend the annual open enrollment period for 2026 to give more people time to sign up for coverage. The bill includes anti-fraud measures, such as holding insurance brokers criminally accountable for providing false information and requiring regular audits of enrollment patterns. Additionally, the bill addresses pharmacy benefit managers (PBMs), which manage prescription drug benefits, by requiring them to provide transparency reports and submit to audits to help reduce drug prices.