Support allowing small businesses to group together to buy health coverage, enable interstate insurance competition, and make policies portable.

Sam Graves · Missouri · Republican

policy impact 4.00 specificity 1.00 extraction confidence 98%

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Occurrences

we should let small businesses group together to buy coverage at rates similar to what large corporations pay. Those policies should operate across state lines so insurance companies are forced to lower rates to compete for business. And policies should be portable, following an individual from job-to-job

Commits to specific health care market reforms to lower costs and improve coverage options.

Issues | Graves for Congress
campaign · campaign_site · model gpt-5.4-mini

Evidence

H.R. 2528, the Association Health Plans Act, was reported in the House on December 15, 2025. The bill title and full title indicate it is intended to amend ERISA to clarify the treatment of certain association health plans as employers.

Official House bill action shows Congress is still advancing association health plan legislation, which overlaps with the small-business pooling part of the promise, but it does not establish that Sam Graves delivered the full pledge or that interstate competition and portability were achieved.

unresolved later_term A for effort

H.R. 2528 (RH) - Association Health Plans Act - GovInfo
secondary · model gpt-5.4-mini · confidence 66%

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Congress.gov lists H.R.525 as Passed House, with latest action in the Senate: received, read twice, and referred to HELP Committee. CRS summary says it would establish association health plans for business associations.

The small-business pooling piece advanced through the House but did not become law; it was referred to the Senate committee and stopped there.

partial unknown A for effort

H.R.525 - Small Business Health Fairness Act of 2005
secondary · model gpt-5.5 · confidence 82%

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Congress.gov lists H.R.2355 as Introduced, latest House action: placed on the Union Calendar. CRS summary says the bill would let an issuer's primary-state laws apply to coverage in other states.

The interstate insurance competition component was embodied in reported legislation, but it did not pass the House or become law.

never unknown

H.R.2355 - Health Care Choice Act of 2005
secondary · model gpt-5.5 · confidence 78%

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The Clerk records Roll Call 885 on the Boehner substitute amendment to H.R.3962 as Failed, 176 yeas to 258 nays; Sam Graves of Missouri voted Yea.

Graves backed a concrete Republican health-care substitute amendment, but the amendment failed, so it did not deliver the promised policy package.

partial unknown A for effort

Roll Call 885, H.R.3962, Boehner Substitute Amendment
secondary · model gpt-5.5 · confidence 77%

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Congress.gov shows H.R.3962 became Public Law 111-192 on June 25, 2010. Its public-law summary concerns Medicare physician payments, hospital payment rules, and pension funding relief.

The enacted law under this bill number was not the House health reform package and did not enact small-business pooling, interstate insurance competition, or portability.

never unknown

H.R.3962 - Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010
secondary · model gpt-5.5 · confidence 74%

Contest this evidence item

GovInfo lists H.R.2528, Association Health Plans Act, as Reported in House on December 15, 2025, with text clarifying treatment of certain association health plans as employers.

A later association-health-plan bill still being reported in 2025 shows the small-business pooling policy had not been fully enacted as a settled federal outcome by the assessment period.

never later_term

H.R. 2528 (RH) - Association Health Plans Act - GovInfo
secondary · model gpt-5.5 · confidence 70%

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Assessments

never unknown A for effort

Graves supported and advanced pieces of the promised policy, including House-passed association health plan legislation and a Republican health-care substitute amendment, but the relevant measures did not become enacted federal law. The record does not show delivery of the full package: small-business pooling, interstate insurance competition, and portable policies. Because there was a serious legislative effort without final enactment of the promised outcome, this is best scored as not delivered with an effort badge.

provider codex_cli · model gpt-5.5 · confidence 80%

never unknown A for effort

The evidence shows continued legislative activity on association health plans, which addresses only the small-business pooling portion of the pledge. It does not show enactment of the promised package: small-business group purchasing, interstate insurance competition, and portability. Because the cited action is a reported House bill rather than enacted law, and no evidence shows Graves secured the full federal outcome, the promise should not be marked delivered. The association-health-plan bill activity supports recognizing serious legislative effort, but not fulfillment.

provider codex_cli · model gpt-5.5 · confidence 73%