That’s why he supports allowing businesses and associations to pull together their health plans to obtain larger health care premium discounts from major health insurers.
Support allowing businesses and associations to pool health plans to secure larger premium discounts.
Occurrences
Evidence
legacy_unverified · Source version not recorded · locator unknown
Bost said the American Health Care Act was a step to decrease premiums and expand and enhance health care options, reflecting support for market-based coverage reforms.
legacy_unverified · Source version not recorded · locator unknown
DOL proposed expanding access to small business health plans, also called Association Health Plans, to let small businesses and sole proprietors band together for coverage.
legacy_unverified · Source version not recorded · locator unknown
The Department said the 2018 AHP rule was rescinded and had never been fully implemented after court rulings and later agency action.
legacy_unverified · Source version not recorded · locator unknown
OIRA listed DOL-EBSA RIN 1210-AC43, "Definition of an 'Employer' Under Section 3(5) of ERISA -- Association Health Plans," as "Pending Review" at the "Proposed Rule" stage, received 08/11/2026.
legacy_unverified · Source version not recorded · locator unknown
DOL said the 2018 AHP Rule was largely invalidated by a federal district court in 2019, that the enforcement safe harbor had expired, that the rule was never fully implemented, and that DOL rescinded the rule effective in 2024.
Assessments
Bost showed same-term support for market-based health reforms and the Trump administration advanced an Association Health Plans rule in 2018. But the federal AHP expansion was invalidated, never fully implemented, and rescinded in 2024, while the 2026 action is only a pending proposed rule. The promised pooled-plan outcome was therefore not durably delivered, though there was meaningful effort.
Bost showed support for Republican health-care legislation aimed at lowering premiums and expanding private coverage options, and the federal government advanced an Association Health Plan expansion rule during his same House term. However, the AHP expansion was invalidated, never fully implemented, and later rescinded, so the promised policy outcome was not durably delivered. The record supports a serious same-term effort rather than fulfillment.
The promised policy was to support business and association health-plan pooling for larger premium discounts. Federal action did advance in that direction through the 2018 Department of Labor Association Health Plan rulemaking, and Bost also supported broader market-based health coverage reforms aimed at lowering premiums. However, the AHP expansion was invalidated, never fully implemented, and later rescinded by DOL in 2024, so the promised outcome was not durably delivered. Because there was a serious federal attempt but the outcome failed, this is classified as never with an effort badge.