“The COMPETE Act restores commonsense flexibility by allowing Americans and employers to choose coverage that fits their needs and their budgets. By expanding access to short-term plans with guaranteed renewals, we can lower premiums, increase competition, and create more health care options for small businesses that are struggling to keep up with rising costs.”
Expand access to short-term limited duration health insurance plans with guaranteed renewals to lower premiums, increase competition, and create more health care options for families and small businesses.
Occurrences
Evidence
CMS states the 2024 final rules limit STLDI initial terms to no more than 3 months and maximum coverage to no more than 4 months including renewals or extensions; it contrasts this with the prior 12-month/36-month rule.
The 2018 final rule redefined STLDI to allow an initial contract term under 12 months and total duration up to 36 months with renewals or extensions, effective October 2, 2018.
The rule says it does not impose a guaranteed renewability requirement and only permits, rather than requires, issuers to renew or extend STLDI up to 36 months.
Executive Order 13813 directed Treasury, Labor, and HHS to consider expanding STLDI availability and allowing longer periods and consumer renewal.
Executive Order 14009 revoked Executive Order 13813 and directed agencies to review actions arising from it for possible suspension, revision, or rescission.
The House passed H.R. 1628, the American Health Care Act, 217-213; the Clerk's roll call records Rep. Grothman voting Aye.
Assessments
The federal government did expand short-term limited duration insurance access in the 2018 Trump administration rule by allowing initial terms under 12 months and total duration up to 36 months with renewals or extensions, during Grothman's later House service. But the rule did not create guaranteed renewability, which was a specific part of the promise, and Grothman's own contribution appears limited to broad health-care deregulation support rather than sponsoring or directly passing this specific policy. The 2024 CMS rule later rolled back the expansion for new policies, so the promised current policy is not fully delivered, but there was a meaningful temporary partial implementation.