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