I am a strong supporter of implementing the Commerce Clause, which allows for health insurance to be purchased and used across state lines. ... Furthermore, implementing state reciprocity allows for American citizens to seek their own doctors
Support allowing health insurance to be purchased and used across state lines and support state reciprocity in healthcare and insurance.
Occurrences
Evidence
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Congress.gov lists Byron Donalds as a Republican House member from Florida's 19th District serving in the 117th through 119th Congresses, 2021-present, with 141 sponsored and 1,262 cosponsored legislative items on the member activity page.
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Congress.gov summarizes H.R.314 as applying a primary state's laws to individual health insurance coverage offered by an insurer in secondary states, exempting insurers from secondary-state laws that would prohibit or regulate that operation. The bill's status was only Introduced, with latest action referral to the Subcommittee on Health on January 25, 2017.
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Congress.gov says H.R.3799 provides statutory authority for alternative health insurance options, including association health plans and individual coverage health reimbursement arrangements. The tracker shows the bill passed the House on June 21, 2023, by roll call 282, but it did not become law.
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The House Clerk's roll-call page for H.R.3799 records the vote question as On Passage, status Passed, total 220 yeas to 209 nays, and lists Donalds, Republican of Florida, voting Yea.
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Congress.gov lists S.3434 as the Health Coverage Across State Lines Act, introduced 12/11/2025, with latest action: read twice and referred to the Senate HELP Committee. Tracker status is Introduced, with no Senate passage, House passage, presentment, or enacted-law status.
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Donalds's official House healthcare page says he supports using the Commerce Clause to allow health insurance to be purchased and used across state lines and supports state reciprocity, but the page does not identify an enacted federal policy delivering that result.
Assessments
Donalds has consistently stated support for allowing health insurance to be purchased and used across state lines and for state reciprocity, and he voted for a related House-passed insurance-choice bill. But the promised federal outcome has not been enacted: the direct interstate-coverage measure remains introduced/referred in the Senate, the related CHOICE Arrangement Act did not become law, and there is no evidence Donalds sponsored or materially advanced an enacted federal reciprocity policy. This supports credit for effort, not delivery.
Donalds supported a related health-insurance-choice measure, H.R.3799, and voted for House passage in 2023 during his current House service. But that bill did not become law and did not itself enact the promised interstate purchase/use reciprocity for health insurance. The more direct interstate-reciprocity bill cited predates Donalds's congressional tenure and also did not pass. Because there is evidence of legislative effort but no delivered federal policy outcome, this is a failed promise with effort credit.