Bipartisan Health Insurance Affordability Act

The Bipartisan Health Insurance Affordability Act extends and modifies premium tax credit rules to make health insurance more affordable for people with household incomes up to 700% of the poverty line, with specific provisions for different income tiers. The bill requires pharmacy benefit managers to pass through 100% of rebates to health plans, establishes transparency requirements for drug pricing, and creates mechanisms to prevent fraud in health insurance exchanges. It also extends the annual open enrollment period for 2026 and allows qualified Exchange enrollees to establish health savings accounts, with options to prepay annual premiums or direct part of their premium tax credit into a health savings account.