Bill would force insurers to share health plan cost data with employers

What does this do?

HR 9228, the Health DATA Act of 2026, amends ERISA to require network service providers, such as insurers, pharmacy benefit managers, and third-party administrators, to give employer plan sponsors full access to claims data, pricing formulas, fees, overpayment information, and audit rights within 15 days of a request. It voids contract terms that block or delay this access.

Who does it affect?

The bill affects employers that sponsor employee health plans and the insurers, pharmacy benefit managers, and third-party administrators that manage claims and networks for those plans. It indirectly affects employees and families covered by these plans.

Why does it matter?

Restrictive data-sharing contracts would become void, and administrators would face new legal obligations and potential fines for noncompliance, changing how claims and pricing information flows between employers and plan managers.

What does it cost, and who pays?

• Fines up to $10,000 per day
• Enforced by Department of Labor
• Applies to noncompliant administrators