To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios.

12/30/2022, 5:47 PM

Summary of Bill HR 3969

Bill 117 HR 3969, also known as the Social Determinants Accelerator Act, aims to amend title XXVII of the Public Health Service Act to include activities that address social determinants of health in the calculation of medical loss ratios.

The bill recognizes that social determinants of health, such as access to quality education, stable housing, and nutritious food, play a significant role in an individual's overall health outcomes. By including activities that address these social determinants in the calculation of medical loss ratios, health insurance companies will be incentivized to invest in programs and initiatives that improve the overall health and well-being of their members.

This legislation is important because it acknowledges the interconnectedness of social factors and health outcomes, and seeks to address the root causes of health disparities. By incorporating social determinants of health into the calculation of medical loss ratios, health insurance companies will be encouraged to take a more holistic approach to healthcare and invest in initiatives that promote health equity. Overall, Bill 117 HR 3969 represents a step towards a more comprehensive and inclusive healthcare system that recognizes the importance of addressing social determinants of health in improving overall health outcomes for all individuals.

Congressional Summary of HR 3969

This bill requires health insurers to include expenditures for activities that address social determinants of health when calculating the proportion of premium revenues spent on clinical services and quality improvement (i.e., medical loss ratio).

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Current Status of Bill HR 3969

Bill HR 3969 is currently in the status of Bill Introduced since June 17, 2021. Bill HR 3969 was introduced during Congress 117 and was introduced to the House on June 17, 2021. Bill HR 3969's most recent activity was Referred to the Subcommittee on Health. as of June 18, 2021

Bipartisan Support of Bill HR 3969

Total Number of Sponsors

Democrat Sponsors

Republican Sponsors

Unaffiliated Sponsors

Total Number of Cosponsors

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Policy Area and Potential Impact of Bill HR 3969

Primary Policy Focus

Health

Alternate Title(s) of Bill HR 3969

To amend title XXVII of the Public Health Service Act to include activities to address social determinants of health in the calculation of medical loss ratios.