H.R. 3020 (119th)Bill Overview

Addressing Anti-Competitive Health Care Contract Clauses Act

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

Referred to the Committee on Energy and Commerce, and in addition to the Committee on the Judiciary, for a period to be subsequently determined by the Speaker, in each case for co…

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

Requires the Government Accountability Office to complete, within 18 months, a study on anticompetitive contract clauses (anti-steering, anti-tiering, all-or-nothing, gag clauses) used between health insurers and providers. The GAO must evaluate effects on consolidation, prices, and access; list FTC and DOJ actions; assess those agencies’ enforcement capacity; and recommend legislative or administrative steps and resource needs if necessary.

Why people may split

Liberals want prompt action; conservatives prefer study-only first

Watch point

Relative to its intended legislative type, this bill is a well-defined statutory requirement for a GAO study.

Requires the Government Accountability Office to complete, within 18 months, a study on anticompetitive contract clauses (anti-steering, anti-tiering, all-or-nothing, gag clauses) used between health insurers and providers.

The GAO must evaluate effects on consolidation, prices, and access; list FTC and DOJ actions; assess those agencies’ enforcement capacity; and recommend legislative or administrative steps and resource needs if necessary.

The report will be delivered to relevant House and Senate committees.

Passage55/100

Low-cost, administrative oversight bills historically have moderate success; industry opposition and committee calendars are main obstacles.

CredibilityAligned

Relative to its intended legislative type, this bill is a well-defined statutory requirement for a GAO study. It provides clear objectives, detailed subject-matter definitions, a timeline, and specified report recipients, and it mandates coordination with the relevant enforcement agencies.

Contention28/100

Liberals want prompt action; conservatives prefer study-only first

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Likely helpedFederal agencies

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

Likely helped
  • Potential benefitProduces an evidence base to inform future policymaking on insurer-provider contract practices.
  • Potential benefitMay justify increased FTC or DOJ antitrust funding or staffing to police health care contracts.
  • Potential benefitCould lead to improved price transparency if gag clauses are identified and addressed.
Likely burdened
  • Potential burdenConducting the study and any follow-on actions could impose administrative costs on agencies and firms.
  • Potential burdenRequests for contract data may raise confidentiality and proprietary pricing concerns among private parties.
  • Federal agenciesReport findings could prompt federal interventions that overlap or conflict with state insurance regulation.
03 · Why people split

Why the argument around this bill splits.

Liberals want prompt action; conservatives prefer study-only first
Progressive90%

Likely strongly supportive because the bill targets anticompetitive clauses that harm consumers and market competition.

Sees the GAO study as useful evidence to justify stronger enforcement or legislative bans on harmful contract clauses.

Leans supportive
Centrist75%

Generally favorable to a fact-finding GAO study as a modest, evidence-based step before policy changes.

Will weigh benefits of improved information against potential duplication, cost, and timing concerns.

Leans supportive
Conservative60%

Mixed but cautiously supportive since the bill only mandates a GAO study, not new regulation.

Concerned about potential downstream calls for expanded FTC/DOJ power and interference with private contracts.

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 likelihood55/100

Low-cost, administrative oversight bills historically have moderate success; industry opposition and committee calendars are main obstacles.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • No GAO cost estimate within text
  • Potential industry lobbying influence and opposition
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 want prompt action; conservatives prefer study-only first

Low-cost, administrative oversight bills historically have moderate success; industry opposition and committee calendars are main obstacles.

Unlocked analysis

Relative to its intended legislative type, this bill is a well-defined statutory requirement for a GAO study. It provides clear objectives, detailed subject-matter definitions, a timeline, and specified report recipient…

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
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