HR 6420

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IN THE HOUSE OF REPRESENTATIVES

December 4, 2025

Mr. Miller of Ohio (for himself and Mr. Allen) introduced the following bill; which was referred to the Committee on Energy and Commerce

A BILL

To amend title XXVII of the Public Health Service Act to define short- term limited duration insurance.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

This Act may be cited as the “Affordable Care Economic Stability and Small Business Act” or the “ACCESS Act”.

SEC. 2. FINDINGS.

Congress finds the following:

(1) Americans, including small businesses in the Nation, could benefit from access to efficient, quality, and more affordable health care coverage options.

(2) Health insurance coverage designed to fill temporary gaps in coverage when an individual is transitioning from one plan or coverage to another, such as transitions in employment, is valuable.

(3) Small businesses are particularly challenged by escalating health care costs threatening their viability and ability to continue supporting their employees and contributing to their local economies.

(4) With continuously rising health care costs, short-term limited duration affordable health plans may provide a critical means for small business owners to provide portable coverage for United States workers.

(5) Access to flexible health care choices for American consumers and the small business community is paramount, including insurance plans that provide affordable and flexible coverage, building a path toward stronger health care coverage in the Nation.

SEC. 3. SHORT-TERM LIMITED DURATION INSURANCE.

(a) Definition.—Section 2791(b) of the Public Health Service Act (42 U.S.C. 300gg-91(b)) is amended by adding at the end the following new paragraph:

“(6) Short-term limited duration insurance.—The term ‘short-term limited duration insurance’ means health insurance coverage provided under a contract with a health insurance issuer that—

“(A) has an expiration date specified in the contract that is less than 12 months after the original effective date of the contract; and

“(B) has a duration of not more than 3 years (taking into account renewals or extensions) after the original effective date of the contract.”.

(b) Guaranteed Renewability.—Section 2703 of the Public Health Service Act (42 U.S.C. 300gg-2) is amended—

(1) in subsection (a), by inserting “or offers short-term limited duration insurance” after “group market”; and

(2) by adding at the end the following:

“(f) Application to Short-Term Limited Duration Insurance.—

“(1) In general.—In applying this section in the case of short-term limited duration insurance—

“(A) a reference to ‘health insurance coverage’ with respect to such coverage offered in the individual market shall be deemed to include short-term limited duration insurance; and

“(B) a reference to ‘health insurance issuer’ with respect to health insurance coverage offered in the individual market shall be deemed to include an issuer of short-term limited duration insurance.

“(2) Special rule for short-term limited duration insurance.—In the case of short-term limited duration insurance, at the time of application for enrollment in such insurance coverage, an individual may decline renewability of such coverage in accordance with this section, and the contract between such individual and the health insurance issuer shall specify whether the individual opted for renewability or no renewability.”.

(c) Applicability.—The amendments made by this section shall apply with respect to contracts for short-term limited duration insurance that take effect on or after the date of the enactment of this section. <all>