S. 4583In committeeHealth care
Bill would let doctors and Medicare patients sign private pay contracts
Data as of July 12, 2026
The Legalizing Premium Health Care Act of 2026 lets doctors and Medicare patients agree to charge above Medicare's rates.40-second read · 4 questions answered below
Decoded
What does this do?
This bill would let doctors and Medicare patients sign private contracts setting whatever price they agree on for a service, while the patient could still claim Medicare reimbursement at normal rates. Contracts must be written, signed in advance, and can't be made during emergencies. Doctors would keep their Medicare participation status despite these arrangements, and the bill overrides state laws capping such charges.
Who does it affect?
Medicare beneficiaries (mostly people 65+ and some with disabilities) and the doctors and licensed professionals who treat them. Dual-eligible Medicare and Medicaid recipients could not use these contracts.
Why does it matter?
Providers could charge more than Medicare's standard rates for covered services, potentially increasing patients' out-of-pocket costs, while state price-cap protections would no longer apply.
Where does it stand?
- Introduced
- Senate committee — You are here
- Senate vote
- House
- 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.
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Official title
Legalizing Premium Health Care Act of 2026
- Introduced:
- May 20, 2026
- Latest action:
- May 20, 2026
Read twice and referred to the Committee on Finance.
Read the official bill on Congress.govMake the call
Three steps: where you stand, your script, the call.