As a physician and a Congressman, I am proud to do my part to ensure timely access to the information needed for employers to properly conduct audits and evaluate health plan performance
Ensure employers and employer-sponsored health plan fiduciaries have timely access to health claims and plan data by prohibiting service providers from delaying, restricting, or limiting access to that data.
Occurrences
Evidence
House Education and Workforce Committee announced 119th Congress subcommittee assignments. For Health, Employment, Labor, and Pensions, it listed Rick Allen as chair and Onder as vice chair.
EO 14221 says prior transparency rules require health plans to post negotiated provider rates, out-of-network payments, prescription-drug prices paid by plans or PBMs, and maintain consumer-facing price tools. It directs Treasury, Labor, and HHS to implement and enforce price-transparency rules and improve standardization and compliance guidance.
The order states it must be implemented consistent with applicable law and available appropriations, and does not create enforceable rights or benefits against the United States or other parties.
Axios reported that a study found major insurers provided incomplete transparency data, potentially leaving employers in the dark when shopping for workplace coverage, and that CMS had not taken enforcement action against insurers.
Assessments
The record shows some same-term federal action related to health-plan transparency through EO 14221, but that action mainly directs agencies to improve and enforce price-transparency rules. It does not establish the specific promised outcome: timely employer and employer-sponsored plan fiduciary access to claims and plan data through a prohibition on service providers delaying, restricting, or limiting that access. Onder's relevant committee role supports issue engagement but is not delivery, and the provided evidence does not show an enacted Onder-sponsored or Onder-materially-advanced measure accomplishing the promise. The appropriate judgment is partial credit for related transparency movement, not full delivery.