H.R. 3103 (119th)Bill Overview

Health Share Transparency Act of 2025

Health|Health
Cosponsors
Support
Democratic
Introduced
Apr 30, 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

The bill adds a new part to the Public Health Service Act requiring health care sharing ministries (as defined in the Internal Revenue Code) to disclose annual financial and operational data to federal agencies and to prospective and current enrollees. Required disclosures include reserves, membership counts, premiums collected, claims paid and denied rates, average out-of-pocket costs, provider relationships, lists of excluded services, appeals procedures, and geographic availability.

Why people may split

Scope: transparency protection versus federal intrusion into faith-based programs

Watch point

Relative to its intended legislative type, this bill is a substantive regulatory change that is fairly well-specified in terms of required disclosures, recipients, and high-level enforcement authority, and it includes a separate recurring FTC reporting requirement.

The bill adds a new part to the Public Health Service Act requiring health care sharing ministries (as defined in the Internal Revenue Code) to disclose annual financial and operational data to federal agencies and to prospective and current enrollees.

Required disclosures include reserves, membership counts, premiums collected, claims paid and denied rates, average out-of-pocket costs, provider relationships, lists of excluded services, appeals procedures, and geographic availability.

Entities that enroll people on behalf of ministries must give consumers information about ACA premium tax credits, Medicaid/Medicare eligibility, benefit comparisons, and that ministries are not insurance.

Passage40/100

Modest chance: non‑controversial consumer-disclosure approach helps, but ideological and procedural resistance, plus potential litigation risk, reduce prospects.

CredibilityPartially aligned

Relative to its intended legislative type, this bill is a substantive regulatory change that is fairly well-specified in terms of required disclosures, recipients, and high-level enforcement authority, and it includes a separate recurring FTC reporting requirement. It integrates with existing statutes and prescribes many concrete data elements.

Contention66/100

Scope: transparency protection versus federal intrusion into faith-based programs

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
ConsumersLikely burdened

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

Likely helped
  • ConsumersConsumers gain access to standardized financial and claims data to compare ministries and insurance options.
  • Potential benefitMandatory pre-enrollment disclosures improve informed decision-making and clarify coverage limitations for prospective…
  • Potential benefitPublic FTC complaint reporting increases oversight and may deter misleading or abusive practices.
Likely burdened
  • Potential burdenNew reporting and publication duties will increase administrative and compliance costs for ministries.
  • Potential burdenSmaller or volunteer-led ministries may reduce services or exit the market due to added burdens.
  • Potential burdenSemiannual public disclosure of complaints and leadership details could cause reputational harm before resolution.
03 · Why people split

Why the argument around this bill splits.

Scope: transparency protection versus federal intrusion into faith-based programs
Progressive85%

Likely supportive overall as a consumer-protection and transparency measure that addresses gaps in accountability for health care sharing ministries.

Would welcome public data on denial rates, reserves, and out-of-pocket burdens, while pressing for stronger enforcement and higher penalties.

May view the bill as a first step but insufficient if ministries continue to skirt insurance protections.

Leans supportive
Centrist70%

Views the bill as a pragmatic, targeted transparency reform that improves consumer information without immediately banning ministries.

Appreciates requirements that enrollment agents disclose alternatives like ACA tax credits and Medicaid eligibility.

Concerned about administrative burden, accuracy of self-reported data, and the practicality of enforcement.

Leans supportive
Conservative25%

Likely skeptical and wary of federal intrusion into religiously affiliated health sharing ministries.

Views the bill as burdensome regulation that could stigmatize or hinder voluntary faith-based alternatives to insurance.

Acknowledges some consumer-education and fraud-prevention benefits but objects to biannual public disclosures and potential chilling effects.

Likely resistant
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 likelihood40/100

Modest chance: non‑controversial consumer-disclosure approach helps, but ideological and procedural resistance, plus potential litigation risk, reduce prospects.

Scope and complexity
52%
Scopemoderate
52%
Complexitymedium
Why this could stall
  • Potential legal challenges on religious‑freedom grounds
  • No cost estimate or agency implementation burden quantified
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

Scope: transparency protection versus federal intrusion into faith-based programs

Modest chance: non‑controversial consumer-disclosure approach helps, but ideological and procedural resistance, plus potential litigation r…

Unlocked analysis

Relative to its intended legislative type, this bill is a substantive regulatory change that is fairly well-specified in terms of required disclosures, recipients, and high-level enforcement authority, and it includes a…

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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