H.R. 10959 – Reading Mode

119th CONGRESS

2d Session

H. R. 10959

IN THE HOUSE OF REPRESENTATIVES

November 5, 2026

Ms. Salinas (for herself and Mr. Mackenzie) introduced the following bill; which was referred to the Committee on Energy and Commerce

A BILL

To amend the Patient Protection and Affordable Care Act to require Exchanges to provide for special enrollment periods related to changes in plan provider networks.

Short title

This Act may be cited as the Right to Re-Enroll Act of 2026.

Requiring Exchanges to provide for special enrollment periods related to changes in plan provider networks

Section 1311(c) of the Patient Protection and Affordable Care Act (42 U.S.C. 18031(c)) is amended—

(1)

in paragraph (1)—

(A)

in subparagraph (H), by striking and at the end;

(B)

in subparagraph (I), by striking the period at the end and inserting ; and; and

(C)

by adding at the end the following new subparagraph:

(J)

in the case that the contractual relationship between such plan and a provider or facility that was part of the provider network of such plan is discontinued (irrespective of whether such contractual relationship is discontinued due to a termination for cause or without cause, or due to a non-renewal) with respect to a plan year beginning on or after January 1, 2027—

(i)

provide that an individual who receives items or services from such provider or facility during the special enrollment period described in paragraph (6)(E) shall receive benefits under such plan under the same terms and conditions as would have applied and may not incur cost-sharing expenses for such items or services that exceed the amount of cost-sharing expenses that such individual would have incurred with respect to such items or services if such contractual relationship were not discontinued if—

(I)

such provider or facility furnished items or services to such individual during the 90-day period ending on the date on which such contractual relationship is discontinued; or

(II)

such individual was assigned by such plan to such provider or facility as of such date; and

(ii)

send a notice as soon as practicable, but not later than 7 days after the date on which such contractual relationship is discontinued, to each individual enrolled in such plan that—

(I)

informs such individual that the individual is eligible to enroll during the special enrollment period described in paragraph (6)(E);

(II)

explains how to enroll during such special enrollment period; and

(III)

explains that enrolling in a different qualified health plan during such special enrollment period will reset any amounts applied toward any deductible or out-of-pocket limit applicable to such individual.

; and

(2)

in paragraph (6)—

(A)

in subparagraph (C), by striking and at the end;

(B)

in subparagraph (D), by striking the period at the end and inserting ; and; and

(C)

by adding at the end the following new subparagraph:

(E)

with respect to plan years beginning on or after January 1, 2027, in the case of a qualified health plan with respect to which the contractual relationship between such plan and a provider or facility that was part of the provider network of such plan is discontinued (irrespective of whether such contractual relationship is discontinued due to a termination for cause or without cause, or due to a non-renewal), special enrollment periods during which an individual enrolled in such plan may enroll in a qualified health plan during the 60-day period beginning on the date on which such contractual relationship is discontinued.