Contact Congress about H.R. 9228: Health Data Access, Transparency, and Affordability Act of 2026

Employer health plans could get more of the data behind their medical and drug spending. Vendors would have to share claims, payment, pricing, and fee records in standard formats, or face daily penalties.

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Health Data Access, Transparency, and Affordability Act of 2026 is a House bill in committee. The latest recorded action: Ordered to be Reported (Amended) by the Yeas and Nays: 18 - 15.

Latest action on H.R. 9228: Ordered to be Reported (Amended) by the Yeas and Nays: 18 - 15.

Who this affects: This bill mainly affects employer group health plans and the companies hired to run them. It matters most for plan fiduciaries, meaning the people legally responsible for managing the plan in workers’ interests. It also affects insurers, third-party administrators, pharmacy benefit managers, and other service providers that hold claims, payment, pricing, or fee data. Workers and families would not see a direct coverage change, but plan decisions about costs and benefits could change later.

Why this matters: Many employers depend on outside companies to run health benefits, but they may not see all the data behind plan spending. This bill would give plan leaders more power to review claims, payments, fees, and pricing terms. That could help them find mistakes, overpayments, hidden fees, or weak vendor deals. The privacy limits under HIPAA would still apply. The bill may help with health spending over time, but it does not guarantee lower premiums or cheaper care.

Key provisions in H.R. 9228

• A group health plan contract would be treated as unreasonable under ERISA unless the plan can get broad access to claims, encounter records, and payment support data. ERISA is the federal law for many job-based benefit plans.
• Contracts could not make plans wait more than 15 days for required data, unless the Secretary of Labor sets a shorter deadline. They also could not cap how much data a plan fiduciary may ask for.
• Plans would have to see pricing terms for alternative payment deals and fixed-payment, or capitated, deals. This includes formulas, quality measures, payment amounts, and incentive time periods.
• Service providers would have to show overpayments, payment formulas outside the main contract, and all fees charged to the plan for administration and claims processing.
• Plans could choose their own auditors. They could also decide how often audits happen and what claims and payment data the audits cover.

How Modern Action helps you take action on H.R. 9228

You do not have to start with a blank letter. Modern Action turns the bill, your position, and the relevant congressional context into a message you can edit and send. The goal is to make contacting Congress clear, specific, and useful without forcing you to parse bill text or figure out the right office on your own.

Questions people ask about H.R. 9228

What is H.R. 9228?

Employer health plans could get more of the data behind their medical and drug spending. Vendors would have to share claims, payment, pricing, and fee records in standard formats, or face daily penalties.

How do I support or oppose H.R. 9228?

Choose support, oppose, or ask for changes on Modern Action. The action flow drafts the message for you and keeps the wording tied to this bill.

Who should I contact about H.R. 9228?

Modern Action uses your location to route the action to the congressional offices relevant to the bill and your representation.

How does Modern Action help me act on H.R. 9228?

Modern Action gives you bill-specific context, lets you choose support, opposition, or changes, and drafts a message from your position and reasons.