H.R. 6703 would establish new rules for association health plans, modify requirements for individual and group health coverage, require contracts between plan sponsors and pharmacy benefit managers (PBMs) to meet certain standards, and appropriate funding for reductions in cost sharing. CBO and the staff of the Joint Committee on Taxation (JCT) estimate that enacting the bill would reduce the deficit by $35.6 billion over the 2026-2035 period. CBO estimates that enacting the bill would decrease the number of people with health insurance by an average of 100,000 over the 2027-2035 period and lower gross benchmark premiums by 11 percent, on average, through 2035.
