H.R. 3017 (119th)Bill Overview

Measuring State Healthcare Freedom Act

Health|Health
Cosponsors
Support
Republican
Introduced
Apr 24, 2025
Discussions
Bill Text
Current stageCommittee

Referred to the House Committee on Energy and Commerce.

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief
Plain-English summaryWhat this bill actually does

Requires the HHS Assistant Secretary for Planning and Evaluation (ASPE) to conduct an annual, 10‑year study of State‑level health care competition and consolidation. The study must consult FTC and DOJ antitrust, collect data on licensure, mergers and acquisitions, COPAs and CONs, alternative insurance types, counts of providers and facilities, and calculate Herfindahl‑Hirschman Indexes for specified services.

Why people may split

Liberals see study as tool for consumer protection and enforcement

Watch point

Relative to its intended legislative type, this bill establishes a clear statutory mandate for recurring study and public reporting on State‑level health care competition and consolidation, with well-specified topical metrics and interagency consultation requirements.

Requires the HHS Assistant Secretary for Planning and Evaluation (ASPE) to conduct an annual, 10‑year study of State‑level health care competition and consolidation.

The study must consult FTC and DOJ antitrust, collect data on licensure, mergers and acquisitions, COPAs and CONs, alternative insurance types, counts of providers and facilities, and calculate Herfindahl‑Hirschman Indexes for specified services.

ASPE must submit annual reports to relevant Congressional committees and publish reports and interactive public datasets online.

Passage65/100

Administrative, narrowly scoped study with bipartisan potential and low cost raises prospects; lack of funding authorization and Senate procedure are main constraints.

CredibilityPartially aligned

Relative to its intended legislative type, this bill establishes a clear statutory mandate for recurring study and public reporting on State‑level health care competition and consolidation, with well-specified topical metrics and interagency consultation requirements. It provides a formal accountability channel to Congress and public access to data.

Contention52/100

Liberals see study as tool for consumer protection and enforcement

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
States · Federal agenciesFederal agencies

These are examples from the analysis, not a ranked list of the most-affected groups.

Likely helped
  • StatesIncreases transparency on state-level health market structure and consolidation trends.
  • Federal agenciesProvides data that could strengthen federal and state antitrust enforcement efforts.
  • StatesEnables policymakers to compare states and design targeted competition or access interventions.
Likely burdened
  • Federal agenciesImposes new federal spending and staffing requirements at HHS over ten years.
  • Potential burdenMay create reporting demands or data collection burdens for providers and insurers.
  • Potential burdenPublication of detailed market data could reveal competitively sensitive information about firms.
03 · Why people split

Why the argument around this bill splits.

Liberals see study as tool for consumer protection and enforcement
Progressive80%

Generally supportive of a recurring, public study that documents consolidation and licensing barriers.

Sees value in transparency and antitrust consultation but wants the study used to protect patients and access rather than justify deregulation.

Leans supportive
Centrist75%

Favors evidence‑based, interagency study to inform policy decisions while wanting clarity on funding, scope, and duplication.

Appreciates public transparency but expects pragmatic follow‑through and protections for confidential data.

Leans supportive
Conservative45%

Skeptical of expanded federal study of state health regulation and potential federal encroachment.

However, may welcome data exposing state licensing, CONs, and consolidation that restrict markets and competition.

Split reaction
04 · Can it pass?

The path through Congress.

Introduced

Reached or meaningfully advanced

Committee

Reached or meaningfully advanced

Floor

Still ahead

President

Still ahead

Law

Still ahead

Passage likelihood65/100

Administrative, narrowly scoped study with bipartisan potential and low cost raises prospects; lack of funding authorization and Senate procedure are main constraints.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • No explicit appropriation or cost estimate included
  • Degree to which FTC/DOJ will share proprietary data
05 · Recent votes

Recent votes on the bill.

No vote history yet

The bill has not accumulated any surfaced votes yet.

06 · Go deeper

Go deeper than the headline read.

Included on this page

Liberals see study as tool for consumer protection and enforcement

Administrative, narrowly scoped study with bipartisan potential and low cost raises prospects; lack of funding authorization and Senate pro…

Unlocked analysis

Relative to its intended legislative type, this bill establishes a clear statutory mandate for recurring study and public reporting on State‑level health care competition and consolidation, with well-specified topical m…

Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
Open full analysis