POP Act

The POP Act prohibits a single entity from owning both a health insurance company and certain healthcare providers that receive Medicare payments (excluding hospitals, pharmacies, and specific equipment suppliers). It requires violators to sell off either the insurance business or the healthcare provider within 1-2 years, depending on when the ownership began. The law also bars Medicare Advantage and Part D plans from contracting with organizations that violate this rule starting in 2026, treating such contracts as false claims. Enforcement involves the FTC, DOJ, or state attorneys general, with penalties including selling assets and returning revenue to communities.