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Senate bill lets small businesses pool together to buy group health insurance

In committeeS. 1847Latest action

Sponsor: Rand Paul · Senator · KY

AIDecoded by AI · checked against the record
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Official title: Association Health Plans Act

119th Congress

Topics: Health care

Introduced:

Read the official bill on Congress.gov

In plain words

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S 1847 lets businesses and self-employed workers join association health plans across industries, with protections against pre-existing condition exclusions.

55-second read · 4 questions answered below

What does this do?

S 1847 would allow businesses and self-employed individuals to join trade or professional associations and purchase health insurance as a group, even across unrelated industries. Federal law currently limits how broadly these association health plans can operate. The bill formally recognizes qualifying employer groups as a single employer under federal benefits law, enabling pooled coverage negotiations.

Who does it affect?

The bill primarily affects small business owners, self-employed workers who work at least 10 hours a week in their own business, and trade or professional associations seeking to offer health coverage. Associations must have existed for at least two years, have at least 51 covered employees total, and must have been formed for purposes beyond purchasing health insurance.

Why does it matter?

Smaller employers could gain collective purchasing power that currently is more accessible to large corporations. Insurers would be permitted to set different premium rates for individual member businesses based on their workers' health risk profiles, as long as the overall method is actuarially sound, which may affect how costs are distributed across members.

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Read the official bill on Congress.gov

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Where does it stand?

  1. IntroducedMay 21, 2025
  2. Senate committeeYou are here · May 21, 2025
  3. Senate vote
  4. House
  5. The president's desk

Right now: a Senate committee is reviewing it. If the House changes it, it goes back to the Senate before reaching the president.

Latest action: — Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

Data as of October 9, 2026
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