Health Records Enhancement Act

House Bill

H.R. 4527

119th Congress

Health Records Enhancement Act

In Committee

Introduced:Jul 17, 2025

Primary Sponsor

Lori Chavez-DeRemer

R - OR

Cosponsors

2

Quick Stats

Policy Area

Health

Summary

This bill would require health plans to allow their fiduciaries to access and audit certain information about health care claims and costs. It would also establish penalties for plans that don't comply with these new transparency requirements.

Latest Action

Placed on the Union Calendar, Calendar No. 210.

Introduced7/17/2025

StatusReferred to the Committee on Armed Services, and in addition to the Committee on Veterans' Affairs,

ChamberHouse

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Vote Prediction

Health Records Enhancement Act

This bill would require health plans to allow their fiduciaries to access and audit certain information about health care claims and costs. It would also establish penalties for plans that don't comply with these new transparency requirements.

Community Breakdown

Pass

0%

Fail

0%

0 predictions

This bill would require health plans to allow their fiduciaries to access and audit certain information about health care claims and costs. It would also establish penalties for plans that don't comply with these new transparency requirements.

Bill Number: 4527
Introduced: 7/17/2025
Status: Referred to the Committee on Armed Services, and in addition to the Committee on Veterans' Affairs,
Policy Area: Health

Data from Congress.gov

AI-generated summary

Fact Sheet

Title: Health Records Enhancement Act
Bill Number: 4527
Sponsor: No sponsor
Status: Referred to the Committee on Armed Services, and in addition to the Committee on Veterans' Affairs,
Introduced: 7/17/2025
Summary: This bill would require health plans to allow their fiduciaries to access and audit certain information about health care claims and costs. It would also establish penalties for plans that don't comply with these new transparency requirements.

Data from Congress.gov

AI Summary

Plain-English explanation of this bill

This bill would require health plans to allow their fiduciaries to access and audit certain information about health care claims and costs. It would also establish penalties for plans that don't comply with these new transparency requirements.

Last updated: 12/30/2025

Official Summary

Congressional Research Service summary

Health Data Access, Transparency, and Affordability Act or the Health DATA ActThis bill revises the requirements for contracts between employer-sponsored health plans and provider networks, third-party administrators, or pharmacy benefit managers (PBMs).Specifically, such contracts must also allow health plan fiduciaries to reasonably access and audit certain claims and cost information. Further, a plan fiduciary must annually attest that the plan is in compliance with this requirement.The bill establishes civil penalties for violations of these requirements.The Department of Labor must report on the status of health plans' ability to access to certain de-identified claim information.

Key Points

Main provisions of the bill

Requires health plans to allow their fiduciaries (the people managing the plan) to access and audit claims and cost data from the plan's provider networks, administrators, and pharmacy benefit managers.
Requires plan fiduciaries to annually certify that their plan is complying with the new transparency rules.
Establishes civil penalties for health plans that violate the transparency requirements.

How This Impacts Americans

Potential effects on citizens and communities

This bill would affect anyone enrolled in an employer-sponsored health plan, by making it easier for their plan's managers to access information about how their health care dollars are being spent. This could help plan fiduciaries negotiate better deals with providers and pharmacies, potentially leading to lower costs for plan participants.

Policy Areas

Primary Policy Area

Health

Related Subjects

Accounting and auditing

Business ethics

Civil actions and liability

Congressional oversight

Government information and archives

Government studies and investigations

Health care costs and insurance

Scope & Jurisdiction

Jurisdiction Level

federal

Congressional Session

119th Congress

Citation Reference

4527, 119th Congress (2025). "Health Records Enhancement Act". Source: Voter's Right Platform. https://votersright.org/bills/118-hr-4527

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