Consumer Health Claim Assistance Act
- Sponsor
- Rep. Mark DeSaulnier (D-CA-10) (D)
- Introduced
- 2026-07-16
- Latest action
- Referred to the House Committee on Education and Workforce. (2026-07-16)
No recorded vote yet
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# Consumer Health Claim Assistance Act Summary
HR 9737, sponsored by Representative Mark DeSaulnier of California, aims to improve how consumers navigate health insurance claims and receive assistance when claims are denied or disputed. The bill would establish or strengthen mechanisms to help individuals understand their coverage, appeal unfavorable decisions, and access support when dealing with their health insurers. This legislation directly affects people with health insurance who encounter problems with claim denials, coverage disputes, or difficulty understanding their benefits.
The bill was introduced as part of broader efforts to address consumer frustration with health insurance systems, where claim denials and complex appeals processes often leave patients confused or unable to access needed care. With health care costs and insurance disputes remaining significant concerns for many Americans, lawmakers have periodically proposed measures to level the playing field between individual consumers and large insurance companies. If enacted, the bill could potentially reduce the burden on patients trying to resolve insurance disputes, though its specific impact would depend on the detailed provisions and how vigorously it is implemented by federal agencies.
Key provisions
- The bill establishes or strengthens mechanisms to help consumers understand their health insurance coverage and benefits.
- The bill provides assistance to individuals when health insurance claims are denied or disputed.
- The bill strengthens appeals processes for consumers to challenge unfavorable health insurance decisions.
- The bill aims to help patients access support when dealing with health insurance disputes with their insurers.
- The bill addresses consumer access to care by reducing barriers in health insurance claim resolution processes.
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