The House Resolution outlines the procedural rules for considering H.R. 185, known as the "Bipartisan Healthcare Optimization, Protection, and Extension Act" or "HOPE Act." It mandates immediate consideration of the bill, waives all points of order against its consideration and provisions, and specifies that an amendment in the nature of a substitute shall be adopted. The resolution also sets debate limits and allows for one motion to recommit, ensuring a streamlined path for the bill's passage. A central provision of the HOPE Act is the extension and modification of enhanced premium tax credits for health insurance marketplace plans. These enhanced credits, which help individuals afford health coverage, would apply to taxable years beginning after December 31, 2025, and before January 1, 2028. The bill also adjusts the premium percentages and extends eligibility to individuals with household incomes up to 935% of the federal poverty line. To combat fraud in health insurance Exchanges, the bill introduces significant new measures, including civil and criminal penalties for agents and brokers who provide incorrect, false, or fraudulent enrollment information. It mandates new consumer protections for agent- or broker-assisted enrollments in federal Exchanges, requiring consent documentation, delaying commission payments until inconsistencies are resolved, and ensuring timely notification of coverage changes to individuals. The legislation also grants the Secretary authority to establish criteria for States to regulate Field Marketing Organizations (FMOs) and Third-Party Marketing Organizations (TMOs) involved in the "chain of enrollment," covering standards of conduct and marketing requirements. Additionally, it requires the Secretary to implement a process for periodic audits of agents and brokers, provide a list of suspended or terminated agents, and regularly check the Death Master File to remove deceased individuals from Exchange plans, with a "preponderance of the evidence" standard for terminating agent agreements. Finally, the bill mandates that Exchanges clearly notify individuals of their premium tax credit amount before enrollment, starting January 1, 2027, and extends the annual open enrollment period for plan year 2026 to May 15, 2026.
Providing for consideration of the bill (H.R. 185) to advance responsible policies.
USA119th CongressHRES-902| House
| Updated: 11/20/2025
The House Resolution outlines the procedural rules for considering H.R. 185, known as the "Bipartisan Healthcare Optimization, Protection, and Extension Act" or "HOPE Act." It mandates immediate consideration of the bill, waives all points of order against its consideration and provisions, and specifies that an amendment in the nature of a substitute shall be adopted. The resolution also sets debate limits and allows for one motion to recommit, ensuring a streamlined path for the bill's passage. A central provision of the HOPE Act is the extension and modification of enhanced premium tax credits for health insurance marketplace plans. These enhanced credits, which help individuals afford health coverage, would apply to taxable years beginning after December 31, 2025, and before January 1, 2028. The bill also adjusts the premium percentages and extends eligibility to individuals with household incomes up to 935% of the federal poverty line. To combat fraud in health insurance Exchanges, the bill introduces significant new measures, including civil and criminal penalties for agents and brokers who provide incorrect, false, or fraudulent enrollment information. It mandates new consumer protections for agent- or broker-assisted enrollments in federal Exchanges, requiring consent documentation, delaying commission payments until inconsistencies are resolved, and ensuring timely notification of coverage changes to individuals. The legislation also grants the Secretary authority to establish criteria for States to regulate Field Marketing Organizations (FMOs) and Third-Party Marketing Organizations (TMOs) involved in the "chain of enrollment," covering standards of conduct and marketing requirements. Additionally, it requires the Secretary to implement a process for periodic audits of agents and brokers, provide a list of suspended or terminated agents, and regularly check the Death Master File to remove deceased individuals from Exchange plans, with a "preponderance of the evidence" standard for terminating agent agreements. Finally, the bill mandates that Exchanges clearly notify individuals of their premium tax credit amount before enrollment, starting January 1, 2027, and extends the annual open enrollment period for plan year 2026 to May 15, 2026.