S4583-119

In Committee

Legalizing Premium Health Care Act of 2026

119th Congress Introduced May 20, 2026

Summary

What This Bill Does

The bill requires guaranteeing freedom of choice and contracting for patients under Medicare Section 1802 of the Social Security Act (42 U.S.C, requires freedom of Choice and Contracting by Patient Guaranteed Any individual entitled to insurance benefits under this title may obtain health services from any institution, agency, or person qualified to participate, and defines preemption of State laws limiting charges for services by an eligible professional No State may impose a limit on the amount of charges for services, furnished by an eligible professional (as defined. It relies on definition changes, compliance mandates, exemptions, and procurement rules. The main policy areas are Healthcare, Health, and Criminal Justice.

Who Benefits and How

Patients and health care consumers affected by the bill could face lower compliance burdens, Lobbyists, political organizations, and disclosure users affected by the bill could face lower compliance burdens, and Disaster response agencies and disaster-affected communities could face lower compliance burdens.

Who Bears the Burden and How

Federal, state, or local agencies responsible for implementing the clause would take on compliance duties.

Key Provisions

  • Requires guaranteeing freedom of choice and contracting for patients under Medicare Section 1802 of the Social Security Act (42 U.S.C.
  • Requires freedom of Choice and Contracting by Patient Guaranteed Any individual entitled to insurance benefits under this title may obtain health services from any institution, agency, or person qualified to participate...
  • Defines preemption of State laws limiting charges for services by an eligible professional No State may impose a limit on the amount of charges for services, furnished by an eligible professional (as defined...

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

The bill requires guaranteeing freedom of choice and contracting for patients under Medicare Section 1802 of the Social Security Act (42 U.S.C, requires freedom of Choice and Contracting by Patient Guaranteed Any individual entitled to insurance benefits under this title may obtain health services from any institution, agency, or person qualified to participate, and defines preemption of State laws limiting charges for services by an eligible professional No State may impose a limit on the amount of charges for services, furnished by an eligible professional (as defined.

Key Policy Areas

Healthcare, Health, Criminal Justice

Primary Purpose

The bill requires guaranteeing freedom of choice and contracting for patients under Medicare Section 1802 of the Social Security Act (42 U.S.C, requires freedom of Choice and Contracting by Patient Guaranteed Any individual entitled to insurance benefits under this title may obtain health services from any institution, agency, or person qualified to participate, and defines preemption of State laws limiting charges for services by an eligible professional No State may impose a limit on the amount of charges for services, furnished by an eligible professional (as defined.

Policy Domains

Healthcare Health Criminal Justice

Whole bill

Identified Gains
  • Patients and health care consumers affected by the bill
  • Lobbyists, political organizations, and disclosure users affected by the bill
  • Disaster response agencies and disaster-affected communities
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: is
Patients and health care consumers affected by the bill: , ,
Disaster response agencies and disaster-affected communities: ,
Lobbyists, political organizations, and disclosure users affected by the bill: ,
Identified Costs
  • Federal, state, or local agencies responsible for implementing the clause
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: is
Federal, state, or local agencies responsible for implementing the clause: ,

Legislative Progress

In Committee
Introduced Committee Passed
May 20, 2026

Read twice and referred to the Committee on Finance.

May 20, 2026

Introduced in Senate

May 20, 2026

Mr. Paul (for himself and Ms. Murkowski) introduced the following …

Impact analysis is available but no clear stakeholder effects identified. View clause-level analysis →

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare Health Criminal Justice

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology