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To ensure competition in health insurance markets.
Summary
- Defines "short-term limited duration insurance" as health plans with contracts expiring within 12 months of the original effective date.
- Allows short-term health plans to offer renewal guarantees that permit policyholders to purchase additional coverage at a future date without new underwriting requirements.
- Amends the Public Health Service Act to add this insurance definition to federal health insurance regulations.
AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.
Sponsor (1)
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![Sen. Cruz, Ted [R-TX]](https://media.civicgate.org/people/d/politicians/C001098.thumb.jpg)
Sen. Cruz, Ted (R-TX)
1 cosponsor
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![Sen. Budd, Ted [R-NC]](https://media.civicgate.org/people/d/politicians/B001305.thumb.jpg)
Sen. Budd, Ted (R-NC)
Money behind the sponsor
Top reported contributors to Ted Cruz’s campaign committee (2024 cycle) — who funds the bill’s sponsor, not a claim about this bill. Data from FEC.
- Employer not reported $4,424,745
- ENTREPRENEUR $458,096
- RDV CORPORATION $39,600
- AMERICAN AIRLINES $29,632
- BLACKSTONE $27,400
Organizations whose employees gave the most — itemized individual contributions grouped by the donor’s reported employer (FEC Schedule A). Full finance for Ted Cruz → · Outside spending →
Actions (2)
- Dec 10, 2025 Read twice and referred to the Committee on Health, Education, Labor, and Pensions. · senate
- Dec 10, 2025 Introduced in Senate
Similar bills (6)
Bills with similar text or summary — includes reintroductions across Congresses. Ranked by semantic similarity of the bill text (computed locally); a neutral discovery aid, not a claim the bills are duplicates.
Full text
IN THE SENATE OF THE UNITED STATES
December 10, 2025
Mr. Cruz (for himself and Mr. Budd) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions
A BILL
To ensure competition in health insurance markets.
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 “Competition and Openness in Markets to Promote Efficiency, Transparency, and Enhanced affordability Act” or the “COMPETE Act”.
SEC. 2. SHORT-TERM LIMITED DURATION INSURANCE.
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:
“(6) Short-term limited duration insurance.—The term ‘short-term limited duration insurance’ means a plan providing health insurance coverage pursuant to a contract with a health insurance issuer—
“(A) that has an expiration date specified in the contract that is not more than 12 months after the original effective date of the contract; and
“(B) which may include a renewal guarantee that permits a policyholder to elect to purchase, for periods of time following expiration of the initial contract, another policy or policies at some future date, at a premium that would not reflect any additional underwriting.”. <all>
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