We must restore competition in the marketplace, expand access to high-quality care and end the one-size-fits-all approach taken in recent years.
James Comer would work to restore healthcare marketplace competition, expand access to high-quality care, and end one-size-fits-all healthcare policies.
Occurrences
Evidence
Congress.gov lists H.R.10545 as Public Law No. 118-158. Its health division extended Community Health Center Fund, National Health Service Corps, rural hospital/ambulance Medicare supports, Medicare outreach/enrollment funding, telehealth flexibilities, and Acute Hospital Care at Home through March 31, 2025.
Roll Call 517 was on passage of H.R.10545, American Relief Act, 2025. The bill passed 366-34; Comer, Republican of Kentucky, voted Yea.
Congress.gov lists H.R.3799 as Passed House, not enacted. The bill would provide statutory authority for association health plans, individual coverage HRAs, stop-loss coverage rules, small-business health coverage outreach, and a sense of Congress on health care freedom and free-market practices.
Roll Call 282 was on passage of H.R.3799, CHOICE Arrangement Act. The bill passed 220-209; Comer, Republican of Kentucky, voted Yea.
Congress.gov lists H.R.5378 as Passed House, not enacted. The bill would require providers and insurers to disclose health care cost information, require PBM reporting and audit rights, ban Medicaid PBM spread pricing, equalize certain Medicare drug administration payments, and extend several public health programs.
Roll Call 708 was on the motion to suspend the rules and pass H.R.5378, Lower Costs, More Transparency Act, as amended. The bill passed 320-71, 1 present; Comer, Republican of Kentucky, voted Yea.
Congress.gov lists H.R.485 as Passed House, not enacted. The bill would prohibit federal and federally funded state health care programs from using quality-adjusted life year based prices to set coverage, reimbursement, or incentive thresholds.
Roll Call 40 was on passage of H.R.485, Protecting Health Care for All Patients Act. The bill passed 211-208; Comer, Republican of Kentucky, voted Aye.
Assessments
Comer supported several same-term House measures aligned with the promise, including health choice, transparency, PBM, and coverage-standard bills, but those major competition and anti-one-size-fits-all proposals did not become law. The enacted H.R.10545, which Comer voted for, temporarily preserved or expanded access through community health centers, rural Medicare supports, telehealth flexibilities, provider-shortage programs, and related funding. That supports partial fulfillment on access to care, but not full delivery of broad marketplace competition restoration or a permanent end to uniform federal health policies.